Individual provider Active NPI

Tracey Lyn Avery-Geter, N.P.

  • Women's Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1962588244
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024167176 Issued in VA
Practice address
400 E Cary St
3Rd Floor
Richmond, VA 23219-3816
Phone
(804) 482-5479
Fax
(804) 786-9021
NPI assigned
Oct 28, 2006
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024167176 VA Primary

Addresses

Primary practice location

400 E Cary St
3Rd Floor
Richmond, VA 23219-3816

Mailing address

400 E Cary St
3Rd Floor
Richmond, VA 23219-3816
Phone (804) 482-5479

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
I20090728000015 VA Practitioner - Nurse Practitioner 2466555172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 E Cary St
Richmond, VA 23219-3816
Phone (804) 205-3746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024167176VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Feb 23, 2011 Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Feb 23, 2011 Accepting new patients
Dr. Zelda West Johnson & Associates Past Accepting new patients

Locations

109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009

400 E Cary St
Richmond, VA 23219
Phone (804) 205-3746

400 E Cary St
Fl 3
Richmond, VA 23219
Phone (804) 482-5479

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1962588244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E CARY ST",
            "address_2": "3RD FLOOR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193816",
            "telephone_number": "804-482-5479",
            "fax_number": "804-786-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E CARY ST",
            "address_2": "3RD FLOOR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193816",
            "telephone_number": "804-482-5479",
            "fax_number": "804-786-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY-GETER",
        "first_name": "TRACEY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024167176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.