Individual provider Active NPI

Patricia R Aldredge, NP

  • Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1689908915
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024164521 Issued in VA
Practice address
2510 Gaskins Rd
Henrico, VA 23238-1481
Phone
(804) 282-4940
Fax
(804) 282-4941
NPI assigned
Sep 18, 2009
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024164521 VA Primary

Addresses

Primary practice location

2510 Gaskins Rd
Henrico, VA 23238-1481

Mailing address

2510 Gaskins Rd
Henrico, VA 23238-1481
Phone (804) 282-4940

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
I20150424000639 VA Practitioner - Nurse Practitioner 4981923992 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024164521VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine S. Rausch, MD PC CurrentSince Feb 6, 2015 Accepting new patients
Skin Surgery Center of Virginia CurrentSince Feb 6, 2015 Accepting new patients

Locations

2510 Gaskins Rd
Richmond, VA 23238
Phone (804) 282-4940

7813 Shrader Rd
Richmond, VA 23294
Phone (804) 264-4262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1689908915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381481",
            "telephone_number": "804-282-4940",
            "fax_number": "804-282-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232381481",
            "telephone_number": "804-282-4940",
            "fax_number": "804-282-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDREDGE",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.