Active NPI
Emily R Rose
- Family Nurse Practitioner
- Richlands, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178458
- Practice address
- 6719 Gov G.C. Peery Hwy
Richlands, VA 24641 - Phone
- (276) 596-6725
- Fax
- (276) 596-6726
- NPI assigned
- Nov 5, 2019
- Last updated
- Mar 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178458 | VA | Primary |
| Family Medicine Physician | 207Q00000X | 0024178458 | VA |
Addresses
Primary practice location
6719 Gov G.C. Peery Hwy
Richlands, VA 24641
Mailing address
PO Box 273
Mavisdale, VA 24627-0273
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Cedar Valley Dr
Suite 3
Cedar Bluff, VA 24609-9247
Phone (276) 596-6449
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Family Medicine | Current | Accepting new patients |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| St. Charles Health Council, Inc | Past | Accepting new patients |
Locations
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
1100 Cedar Valley Dr
Ste 3
Cedar Bluff, VA 24609
Phone (276) 596-6449
111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 596-6375
6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786
Organizations & group practices 3
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.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
Family Medicine
-
dba Clinch Valley Family Care
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1669157285
-
dba Stone Mountain Health Services Pharmacy
- Pharmacy
- Ewing, VA
- NPI 1275594095
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grundy, VA
- NPI 1225036346
-
dba Clinch Valley Medical Center
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1780228528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273",
"city": "MAVISDALE",
"state": "VA",
"postal_code": "246270273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 GOV G.C. PEERY HWY",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-596-6725",
"fax_number": "276-596-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "EMILY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178458",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024178458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.