Individual provider Active NPI

Sarah Elizabeth Ratchford

  • Family Nurse Practitioner
  • Tappahannock, VA
National Provider Identifier
1780445692
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187002 Issued in VA
Practice address
300 Mt Clement Park Ste C
Tappahannock, VA 22560-5098
Phone
(804) 443-6063
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024187002 VA Primary

Addresses

Primary practice location

300 Mt Clement Park Ste C
Tappahannock, VA 22560-5098

Mailing address

300 Mt Clement Park Ste C
Tappahannock, VA 22560-5098
Phone (804) 443-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409002119 VA Practitioner - Nurse Practitioner 3779921846 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024187002VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Mar 31, 2024 Accepting new patients
Riverside Physician Services Inc PastSince Mar 31, 2024 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

300 Mt Clement Park
Ste C
Tappahannock, VA 22560
Phone (804) 443-6030

300 Mt Clement Park
Tappahannock, VA 22560
Phone (804) 443-6063

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1780445692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MT CLEMENT PARK STE C",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605098",
            "telephone_number": "804-443-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MT CLEMENT PARK STE C",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605098",
            "telephone_number": "804-443-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCHFORD",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tappahannock, VA

Sources for this page

Verify at the official NPI Registry.