Organization Active NPI

Saratoga Urgent Care LLC

  • Family Nurse Practitioner
  • Springfield, VA
National Provider Identifier
1710579974
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SARATOGA URGENT CARE LLC
Practice address
7839 Rolling Rd Ste a
Springfield, VA 22153-2821
Phone
(703) 569-6998
Fax
(703) 569-7008
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Mr. Sherwood Richers Jr.
Title
Manager/Owner
Phone
(571) 585-2483

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Neonatal-Perinatal Medicine Physician 2080N0001X
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

7839 Rolling Rd Ste a
Springfield, VA 22153-2821

Mailing address

4241 Brittany CT
Woodbridge, VA 22192-5189
Phone (571) 585-2483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210629003941 DC Part B Supplier - Clinic/Group Practice 9830590736 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0223295Saratoga Urgent Care LLC7839A Rolling Rd, Springfield, VA 22153Certificate of waiverJun 30, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24240/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1710579974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 BRITTANY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925189",
            "telephone_number": "571-585-2483",
            "fax_number": "703-569-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7839 ROLLING RD STE A",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221532821",
            "telephone_number": "703-569-6998",
            "fax_number": "703-569-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "RICHERS",
        "authorized_official_first_name": "SHERWOOD",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "571-585-2483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.