NPIMap

Individual provider Active NPI

Deborah Agnes Nio, M.D.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1609877380
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101056234 Issued in VA
Practice address
1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone
(540) 433-9151
Fax
(540) 433-0547
NPI assigned
Aug 3, 2005
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101056234 VA Primary

Addresses

Primary practice location

1831 Reservoir St
Harrisonburg, VA 22801-8743

Mailing address

1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone (540) 433-9151

Other identifiers 5

IdentifierTypeStateIssuer
005641306MedicaidVA
145616OtherVASOUTHERN HEALTH ID #
113977OtherVAOPTIMA ID
265425OtherVAANTHEM ID #
005641306OtherVAVIRGINIA PREMIER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000357 VA Practitioner - Family Practice 3476717463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Speech and Language Center PLLCGroup PAC ID 7911182654, 12 clinicians
Harrisonburg Family Practice Associates PCGroup PAC ID 3274792049, 7 clinicians

Practice addresses (Care Compare)

1591 Port Republic Rd
Harrisonburg, VA 22801-3517

1831 Reservoir St
Harrisonburg, VA 22801-8743
Phone (540) 433-9151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Family Practice Associates PC CurrentSince Nov 1, 1999 Accepting new patients

Locations

1831 Reservoir St
Harrisonburg, VA 22801
Phone (540) 433-9151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1609877380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 RESERVOIR ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018743",
            "telephone_number": "540-433-9151",
            "fax_number": "540-433-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIO",
        "first_name": "DEBORAH",
        "middle_name": "AGNES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101056234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005641306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH ID #",
            "identifier": "145616",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA ID",
            "identifier": "113977",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID #",
            "identifier": "265425",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER ID #",
            "identifier": "005641306",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.