Individual provider Active NPI

Soeria Damirchi Sanderford, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1679570550
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024000065 Issued in VA
Practice address
9600 Patterson Ave
Richmond, VA 23229-6053
Phone
(804) 741-6200
Fax
(804) 741-6213
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024000065 VA Primary
Family Nurse Practitioner 363LF0000X 0001095096 VA

Addresses

Primary practice location

9600 Patterson Ave
Richmond, VA 23229-6053

Mailing address

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

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
I20041120000152 VA Practitioner - Nurse Practitioner 2860457744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001095096VAMDFamily Nurse Practitioner
0024000065VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Virginia Healthsource Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1679570550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296053",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296053",
            "telephone_number": "804-741-6200",
            "fax_number": "804-741-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFORD",
        "first_name": "SOERIA",
        "middle_name": "DAMIRCHI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024000065",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001095096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.