Active NPI
Patricia Ann Calloway
- Rehabilitation Registered Nurse
- Roanoke, VA
National Provider Identifier
1598544322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- 0001224364
- Practice address
- 2426 Deerfield CT SE
Roanoke, VA 24014-3700 - Phone
- (540) 915-3084
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | 0001224364 | VA | Primary |
Addresses
Primary practice location
2426 Deerfield CT SE
Roanoke, VA 24014-3700
Mailing address
2426 Deerfield CT SE
Roanoke, VA 24014-3700
Phone (540) 915-3084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001224364 | VA | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1598544322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 DEERFIELD CT SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143700",
"telephone_number": "540-915-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 DEERFIELD CT SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240143700",
"telephone_number": "540-915-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLOWAY",
"first_name": "PATRICIA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Rehabilitation",
"state": "VA",
"license": "0001224364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.