Individual provider Active NPI

Pamela Huffman, AGNP-BC

  • Adult Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1942667555
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
363LA2200X Issued in VA
Practice address
1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400
Phone
(540) 361-2922
NPI assigned
Jan 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 363LA2200X VA Primary

Addresses

Primary practice location

1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400

Mailing address

1201 Sam Perry Blvd Ste 280
Fredericksburg, VA 22401-8400
Phone (540) 361-2922

Other identifiers 1

IdentifierTypeStateIssuer
1942667555MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phuffman@vcc4life.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405000859 VA Practitioner - Nurse Practitioner 9638476799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
363LA2200XVAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Healthcare Services LLC CurrentSince Sep 19, 2022 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

12380 Plaza Dr
Parma, OH 44130
Phone (216) 898-8444

6106 Health Center Ln
Fredericksburg, VA 22407
Phone (540) 785-1103

11 Dairy Ln
Fredericksburg, VA 22405
Phone (540) 371-9414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1942667555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD STE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018400",
            "telephone_number": "540-361-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD STE 280",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018400",
            "telephone_number": "540-361-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "PAMELA",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "363LA2200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942667555",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phuffman@vcc4life.org",
            "affiliation": "N",
            "address_1": "1201 Sam Perry Blvd Ste 280",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224018400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.