Active NPI
Angela G Fleming
- Family Nurse Practitioner
- Glen Allen, VA
National Provider Identifier
1841929148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024185395
- Practice address
- 11201 Nuckols Rd
Glen Allen, VA 23059-5502 - Phone
- (804) 887-8322
- Fax
- (804) 877-8321
- NPI assigned
- Jun 10, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001178165 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024185395 | VA | Primary |
Addresses
Primary practice location
11201 Nuckols Rd
Glen Allen, VA 23059-5502
Mailing address
PO Box 631863
Cincinnati, OH 45263-1863
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001178165 | VA | MD | Registered Nurse |
| 0024185395 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coremedx Inc. | Current | Accepting new patients | |
| Bon Secours Urgent Care LLC | Current | Accepting new patients |
Locations
441 Piney Forest Rd
Ste G
Danville, VA 24540
Phone (434) 793-0700
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
11201 Nuckols Rd
Glen Allen, VA 23059
Phone (804) 887-8322
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- General Practice Physician
- Danville, VA
- NPI 1275175705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1841929148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631863",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452631863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 NUCKOLS RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595502",
"telephone_number": "804-887-8322",
"fax_number": "804-877-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "ANGELA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-10",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001178165",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024185395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.