Individual provider Active NPI

Stephanie Wei Liu, FNP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1609381789
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175555 Issued in VA
Practice address
5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207
Phone
(540) 785-3448
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175555 VA
Family Nurse Practitioner 363LF0000X 0024175555 VA Primary

Addresses

Primary practice location

5825 Plank Rd Ste 105
Fredericksburg, VA 22407-5207

Mailing address

226 Colony Dr
Charlottesville, VA 22903-6906
Phone (717) 265-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210902002614 VA Practitioner - Nurse Practitioner 9638575483 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urgent Care LLC CurrentSince Jul 27, 2021 Accepting new patients
USA Sleep Diagnostic Mobile Service CurrentSince Sep 1, 2021 Accepting new patients
USA Sleep Diagnostic Mobile Services, LLC CurrentSince Sep 1, 2021 Accepting new patients
Family Medicine of Albemarle, Inc. Family Medicine Past Accepting new patients

Locations

6030 Daybreak Cir
Ste A150260
Clarksville, MD 21029

5825 Plank Rd
Ste 105
Fredericksburg, VA 22407
Phone (540) 785-2727

800 Corporate Dr
Ste 301
Stafford, VA 22554
Phone (540) 300-5448

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Interoperability endpoints

  • Direct secure messaging: sliu134313@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1609381789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 COLONY DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036906",
            "telephone_number": "717-265-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 PLANK RD STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224075207",
            "telephone_number": "540-785-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "STEPHANIE",
        "middle_name": "WEI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.