Individual provider Active NPI

Inna Tarasova, MSN ACNP

  • Acute Care Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1710243225
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024169153 Issued in VA
Practice address
7740 Shrader Rd Ste a
Henrico, VA 23228-2500
Phone
(804) 501-1600
Fax
(804) 501-2150
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024169153 VA Primary

Addresses

Primary practice location

7740 Shrader Rd Ste a
Henrico, VA 23228-2500

Mailing address

1606 Westbury Dr
Henrico, VA 23229-4831
Phone (804) 673-0780

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
I20260305001172 VA Practitioner - Nurse Practitioner 9436631785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Associates of Richmond IncGroup PAC ID 4789026071, 22 clinicians

Practice addresses (Care Compare)

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone (804) 714-6291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024169153VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of Richmond Inc CurrentSince Feb 20, 2026 Accepting new patients

Locations

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1710243225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WESTBURY DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294831",
            "telephone_number": "804-673-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 SHRADER RD STE A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282500",
            "telephone_number": "804-501-1600",
            "fax_number": "804-501-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASOVA",
        "first_name": "INNA",
        "name_prefix": "Mrs.",
        "credential": "MSN ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024169153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.