Individual provider Active NPI

Manju Kadariya, NP-C

  • Adult Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1750677001
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024172177 Issued in VA
Practice address
1010 N Thompson St
Richmond, VA 23230-4924
Phone
(804) 358-6343
NPI assigned
Jun 24, 2011
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024172177 VA Primary

Addresses

Primary practice location

1010 N Thompson St
Richmond, VA 23230-4924

Mailing address

1010 N Thompson St
Richmond, VA 23230-4924
Phone (804) 358-6343

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
I20160328000646 VA Order and Referring Only - Nurse Practitioner 9335381771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172177VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Brigade Past Accepting new patients
Health Brigade Adult Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: manju.kadariya.1@27370.direct.athenahealth.com

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1750677001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N THOMPSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304924",
            "telephone_number": "804-358-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N THOMPSON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304924",
            "telephone_number": "804-358-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADARIYA",
        "first_name": "MANJU",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.