Active NPI
Frederica Phoenix
- Home Health Aide
- Virginia Beach, VA
National Provider Identifier
1609274059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 147587-0000-7200
- Practice address
- 4793 Shallowford Cir
Virginia Beach, VA 23462-7924 - Phone
- (757) 735-0976
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 147587-0000-7200 | VA | Primary |
Addresses
Primary practice location
4793 Shallowford Cir
Virginia Beach, VA 23462-7924
Mailing address
4793 Shallowford Cir
Virginia Beach, VA 23462-7924
Phone (757) 735-0976
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 |
|---|---|---|---|
| 147587-0000-7200 | VA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Home Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Virginia Beach, VA
- NPI 1457751265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1609274059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4793 SHALLOWFORD CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627924",
"telephone_number": "757-735-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4793 SHALLOWFORD CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627924",
"telephone_number": "757-735-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHOENIX",
"first_name": "FREDERICA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "VA",
"license": "147587-0000-7200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
- Phlebotomy Xperts, LTD.
- Phoenix Counseling Services, LLC
- Phoenix Home Healthcare LLC
- Phoenix Mental Health LLC
- Phoenix Mental Health Services LLC
- Physician Assistant Services Inc
- Physicians' Surgery Center of Tidewater, LLC
- Physiotherapy Associates Inc
- Physiotherapy Associates Inc
- Physiotherapy Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.