Active NPI
SM Healthcare LLC
- Family Nurse Practitioner
- Henrico, VA
National Provider Identifier
1871316539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SM HEALTHCARE LLC
- Practice address
- 9528 Pine Trails CT
Henrico, VA 23294-5344 - Phone
- (804) 201-1455
- Fax
- (804) 282-9135
- NPI assigned
- Nov 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serrja Manoj, NP
- Title
- Sole Member
- Phone
- (804) 201-1455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9528 Pine Trails CT
Henrico, VA 23294-5344
Mailing address
9528 Pine Trails CT
Henrico, VA 23294-5344
Phone (804) 201-1455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richmond, VA
- NPI 1497158877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1871316539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9528 PINE TRAILS CT",
"city": "HENRICO",
"state": "VA",
"postal_code": "232945344",
"telephone_number": "804-201-1455",
"fax_number": "804-282-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9528 PINE TRAILS CT",
"city": "HENRICO",
"state": "VA",
"postal_code": "232945344",
"telephone_number": "804-201-1455",
"fax_number": "804-282-9135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "MANOJ",
"authorized_official_first_name": "SERRJA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "804-201-1455",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.