Keith Stradford

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

T69531964 Issued in VA

Practice address

1340 County Pond Rd
Freeman, VA 23856-2604

Phone

(434) 532-6770

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1922632157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 COUNTY POND RD",
            "city": "FREEMAN",
            "state": "VA",
            "postal_code": "238562604",
            "telephone_number": "434-532-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 COUNTY POND RD",
            "city": "FREEMAN",
            "state": "VA",
            "postal_code": "238562604",
            "telephone_number": "434-532-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADFORD",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "VA",
            "license": "T69531964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "genuinecareservices90@gmail.com",
            "affiliation": "N",
            "endpointDescription": "A secure address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1340 County Pond Rd",
            "city": "Freeman",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238562604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Companion in Freeman, VA
• Providers in Freeman, VA by specialty
• Adult Companion in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.