Individual provider Active NPI

Timothy-Keith Schau Earley

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1659954329
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181239 Issued in VA
Practice address
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone
(706) 863-9595
Fax
(706) 447-7184
NPI assigned
Apr 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024181239 VA Primary

Addresses

Primary practice location

7101 Jahnke Rd
Richmond, VA 23225-4017

Mailing address

PO Box 3548
Augusta, GA 30914-3548
Phone (706) 863-9595

Other practice location 1

4915 Fitzhugh Ave
Richmond, VA 23230-3544
Phone (804) 562-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211221003002 VA Practitioner - Nurse Practitioner 9739570060 Reassigns benefits to 1 organization
I20240312002659 DC Practitioner - Nurse Practitioner 9739570060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181239VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity First , LLC CurrentSince May 1, 2021 Accepting new patients
Serenity Advocates CurrentSince Dec 29, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Feb 5, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

4915 Fitzhugh Ave
Richmond, VA 23230
Phone (804) 562-5777

3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

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": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1659954329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3548",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143548",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "706-863-9595",
            "fax_number": "706-447-7184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 Fitzhugh Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303544",
            "country_code": "US",
            "telephone_number": "804-562-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "TIMOTHY-KEITH",
        "middle_name": "SCHAU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.