Active NPI
Anne Louise Naclerio, MD
- Pediatrics Physician
- Rockingham, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101266504
- Practice address
- 2010 Health Campus Dr
Rockingham, VA 22801-8679 - Phone
- (540) 689-1550
- NPI assigned
- Mar 23, 2006
- Last updated
- Oct 10, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD9096 | HI | |
| Pediatrics Physician | 208000000X | 0101266504 | VA | Primary |
Addresses
Primary practice location
2010 Health Campus Dr
Rockingham, VA 22801-8679
Mailing address
11019 Highridge St
Fairfax Station, VA 22039-1829
Phone (808) 389-3554
Other practice location 1
9300 DeWitt Loop
Ft Belvoir, VA 22060-5285
Phone (571) 231-5404
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101266504 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Trugenomix Health Inc. | Current | Accepting new patients | |
| Danville Physician Practices LLC | Pediatrics | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Past | Accepting new patients |
Locations
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
201 S Main St
Ste 2100
Danville, VA 24541
Phone (434) 799-2111
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
dba SOVAH Physician Practices
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
Pediatrics
-
- Clinical Medical Laboratory
- Manassas, VA
- NPI 1609468420
-
dba Carilion Clinic - DME - Westlake
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1801856059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11019 HIGHRIDGE ST",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220391829",
"telephone_number": "808-389-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 HEALTH CAMPUS DR",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228018679",
"telephone_number": "540-689-1550"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Ft Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "571-231-5404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NACLERIO",
"first_name": "ANNE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "HI",
"license": "MD9096",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101266504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.