Active NPI
Teresa Price
- Contractor
- Lebanon, VA
National Provider Identifier
1619620408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4980 Moccasin Valley Rd
Lebanon, VA 24266-5608 - Phone
- (276) 210-5266
- NPI assigned
- Feb 1, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4980 Moccasin Valley Rd
Lebanon, VA 24266-5608
Mailing address
PO Box 362
Lebanon, VA 24266-0362
Phone (276) 210-5266
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1619620408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 362",
"city": "LEBANON",
"state": "VA",
"postal_code": "242660362",
"telephone_number": "276-210-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4980 MOCCASIN VALLEY RD",
"city": "LEBANON",
"state": "VA",
"postal_code": "242665608",
"telephone_number": "276-210-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.