Individual provider Active NPI

Ralph Kenneth Ablaseau, NP-C

  • Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1982869715
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024164829 Issued in VA
Practice address
263 McLaws Circle
Suite 105
Williamsburg, VA 23185-5629
Phone
(757) 941-5600
Fax
(757) 564-0557
NPI assigned
Jul 21, 2008
Last updated
Jun 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024164829 VA
Nurse Practitioner 363L00000X 0024164829 VA Primary

Addresses

Primary practice location

263 McLaws Circle
Suite 105
Williamsburg, VA 23185-5629

Mailing address

PO Box 1239
Troy, MI 48099-1239
Phone (248) 824-6600

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
I20110921000431 VA Practitioner - Nurse Practitioner 1658542733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairfield Psychological Assoc.Group PAC ID 0244268654, 9 clinicians

Practice addresses (Care Compare)

5265 Providence Rd
Suite 500
Virginia BCH, VA 23464-4210
Phone (757) 467-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024164829VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gli LLC CurrentSince Aug 9, 2011 Accepting new patients
Fairfield Psychological Assoc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

1021 Eden Way N
Chesapeake, VA 23320
Phone (757) 785-5540

1021 Eden Way N
Ste 124
Chesapeake, VA 23320
Phone (757) 842-6757

2901 S Lynnhaven Rd
Ste 170
Virginia Beach, VA 23452
Phone (757) 498-5714

5265 Providence Rd
Ste 500
Virginia Beach, VA 23464
Phone (757) 354-5379

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1982869715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480991239",
            "telephone_number": "248-824-6600",
            "fax_number": "248-324-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MCLAWS CIRCLE",
            "address_2": "SUITE 105",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855629",
            "telephone_number": "757-941-5600",
            "fax_number": "757-564-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLASEAU",
        "first_name": "RALPH",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164829",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.