Individual provider Active NPI

Eleanor Donohue Redmond, NP

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1669030011
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177464 Issued in VA
Practice address
10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone
(540) 374-3150
Fax
(540) 374-3151
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 0024177464 VA Primary

Addresses

Primary practice location

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637

Mailing address

10620 Spotsylvania Ave
Fredericksburg, VA 22408-2637
Phone (540) 374-3150

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
I20190923003108 VA Practitioner - Nurse Practitioner 0446580146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
MWHC Urgent Care LLCGroup PAC ID 8921338427, 20 clinicians

Practice addresses (Care Compare)

11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177464VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince May 12, 2022 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Mary Washington Healthcare Physicians CurrentSince May 26, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince May 26, 2019 Accepting new patients
MWHC Urgent Care LLC CurrentSince Nov 1, 2019 Accepting new patients
MWHC Urgent Care LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4900 Plank Rd
#101
Fredericksburg, VA 22407
Phone (540) 741-0679

1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

4535 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 374-3160

10620 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 374-3150

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

955 Wonder Rd
Ste C
Stafford, VA 22554
Phone (540) 741-7890

Interoperability endpoints

  • Direct secure messaging: eredmond59885@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 6

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 3

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1669030011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082637",
            "telephone_number": "540-374-3150",
            "fax_number": "540-374-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082637",
            "telephone_number": "540-374-3150",
            "fax_number": "540-374-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "ELEANOR",
        "middle_name": "DONOHUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.