NPIMap

Organization Active NPI

Rural Retreat Family Practice, LLC

  • Legal Medicine
  • Rural Retreat, VA
National Provider Identifier
1588694251
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
RURAL RETREAT FAMILY PRACTICE, LLC
Practice address
306 South Main St.
Rural Retreat, VA 24368-0753
Phone
(276) 686-5116
Fax
(276) 686-6289
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debbie Lyons
Title
Office Manager
Phone
(276) 686-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

306 South Main St.
Rural Retreat, VA 24368-0753

Mailing address

PO Box 753
Rural Retreat, VA 24368-0753
Phone (276) 686-5116

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1588694251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243680753",
            "telephone_number": "276-686-5116",
            "fax_number": "276-686-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SOUTH MAIN ST.",
            "city": "RURAL RETREAT",
            "state": "VA",
            "postal_code": "243680753",
            "telephone_number": "276-686-5116",
            "fax_number": "276-686-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL RETREAT FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-686-5116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rural Retreat, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.