Individual provider Active NPI

Harriet Vaughn Greenfield, NP

  • Adult Health Nurse Practitioner
  • Lake Ridge, VA
National Provider Identifier
1790897122
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024167038 Issued in VA
Practice address
12656A Lake Ridge Dr Ste a
Lake Ridge, VA 22192-2335
Phone
(571) 427-2095
Fax
(320) 238-7553
NPI assigned
Aug 31, 2006
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024167038 VA Primary

Addresses

Primary practice location

12656A Lake Ridge Dr Ste a
Lake Ridge, VA 22192-2335

Mailing address

12656 Lake Ridge Dr Ste a
Lake Ridge, VA 22192-7504
Phone (571) 427-2095

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
I20150427001480 VA Practitioner - Nurse Practitioner 5092954552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12656 Lake Ridge Dr
Suite a
Woodbridge, VA 22192-7504
Phone (703) 672-1994

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024167038VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Primary Care PLLC CurrentSince Apr 26, 2016 Accepting new patients
Harriet V Greenfield NP, LLC CurrentSince May 15, 2023 Accepting new patients
Ridgeview Internal Medicine CurrentSince Mar 15, 2015 Accepting new patients

Locations

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

15000 Potomac Town Pl
Ste 258
Woodbridge, VA 22191

2000 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 494-4116

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: hvgnp1@hvgnl-va.direct.office.nextgen.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1790897122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 LAKE RIDGE DR STE A",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221927504",
            "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": "12656A LAKE RIDGE DR STE A",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922335",
            "telephone_number": "571-427-2095",
            "fax_number": "320-238-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "HARRIET",
        "middle_name": "VAUGHN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024167038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ridge, VA

Sources for this page

Verify at the official NPI Registry.