Active NPI
Sheri L Nidiffer, DNP
- Family Nurse Practitioner
- Springfield, VA
National Provider Identifier
1891705851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024164314
- Practice address
- 7470 Spring Village Dr
Springfield, VA 22150-4487 - Phone
- (703) 923-3180
- Fax
- (703) 923-3081
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024164314 | VA | Primary |
Addresses
Primary practice location
7470 Spring Village Dr
Springfield, VA 22150-4487
Mailing address
7470 Spring Village Dr
Springfield, VA 22150-4487
Phone (703) 923-3180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01596 | Other | VA | MEDIC 1 GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164314 | VA | MD | Family Nurse Practitioner |
Practice roles
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1164456398
-
- Medical Physician Assistant
- Fredericksburg, VA
- NPI 1417981648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1891705851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7470 SPRING VILLAGE DR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221504487",
"telephone_number": "703-923-3180",
"fax_number": "703-923-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7470 SPRING VILLAGE DR",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221504487",
"telephone_number": "703-923-3180",
"fax_number": "703-923-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIDIFFER",
"first_name": "SHERI",
"middle_name": "L",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024164314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIC 1 GROUP MEDICARE",
"identifier": "C01596",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.