Organization Active NPI

Harriet V Greenfield NP, LLC

  • Primary Care Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1790487486
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HARRIET V GREENFIELD NP, LLC
Practice address
12656 Lake Ridge Dr Ste a
Woodbridge, VA 22192-7504
Phone
(571) 427-2095
Fax
(320) 238-7553
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Harriet V Greenfield, NPNPI 1790897122
Title
NP/Owner
Phone
(703) 627-2983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12656 Lake Ridge Dr Ste a
Woodbridge, VA 22192-7504

Mailing address

12656A Lake Ridge Dr Ste a
Lake Ridge, VA 22192-2335
Phone (571) 427-2095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821000057 VA Part B Supplier - Clinic/Group Practice 2264894419 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

12656 Lake Ridge Dr
Ste A
Woodbridge, VA 22192
Phone (571) 427-2095

15000 Potomac Town Pl
Ste 258
Woodbridge, VA 22191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1790487486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656A LAKE RIDGE DR STE A",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922335",
            "telephone_number": "571-427-2095",
            "fax_number": "320-238-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656 LAKE RIDGE DR STE A",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927504",
            "telephone_number": "571-427-2095",
            "fax_number": "320-238-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIET V GREENFIELD NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "703-627-2983",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.