Individual provider Active NPI

Sophia Tamayo, FNP-BC

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1982428728
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191747 Issued in VA
Practice address
10432 Patriot Hwy
Fredericksburg, VA 22408-2628
Phone
(540) 755-1358
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024191747 VA Primary

Addresses

Primary practice location

10432 Patriot Hwy
Fredericksburg, VA 22408-2628

Mailing address

10432 Patriot Hwy
Fredericksburg, VA 22408-2628
Phone (540) 755-1358

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
I20250306003613 VA Practitioner - Nurse Practitioner 1658892690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferry Farm Health and WellnessGroup PAC ID 5092186627, 3 clinicians

Practice addresses (Care Compare)

207 Kings Hwy
Suite 103
Fredericksburg, VA 22405-2693
Phone (540) 216-2183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191747VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ferry Farm Health and Wellness CurrentSince Nov 13, 2024 Accepting new patients

Locations

207 Kings Hwy
Ste 103
Fredericksburg, VA 22405
Phone (540) 216-2183

Organizations & group practices 1

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1982428728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 PATRIOT HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082628",
            "telephone_number": "540-755-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 PATRIOT HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082628",
            "telephone_number": "540-755-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "SOPHIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.