Organization Active NPI

Disability Resource Center of the Rappahannock

  • Customized Equipment (DME)
  • Fredericksburg, VA
National Provider Identifier
1790950681
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DISABILITY RESOURCE CENTER OF THE RAPPAHANNOCK
Practice address
409 Progress St
Fredericksburg, VA 22401-3337
Phone
(540) 373-2559
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Ms. Debra Keith Fults
Title
Executive Director
Phone
(540) 373-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

409 Progress St
Fredericksburg, VA 22401-3337

Mailing address

409 Progress St
Fredericksburg, VA 22401-3337
Phone (540) 373-2559

Other identifiers 1

IdentifierTypeStateIssuer
0087430457MedicaidVA

National Provider Directory

National Provider Directory

Locations

409 Progress St
Fredericksburg, VA 22401
Phone (540) 373-2559

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1790950681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PROGRESS ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013337",
            "telephone_number": "540-373-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PROGRESS ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013337",
            "telephone_number": "540-373-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY RESOURCE CENTER OF THE RAPPAHANNOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "FULTS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-373-2559",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087430457",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.