NPIMap

Individual provider Active NPI

Stacy Lee Riedt, FNP-BC

  • Family Nurse Practitioner
  • Montpelier, VA
National Provider Identifier
1982926317
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168687 Issued in VA
Practice address
17112B Mountain Rd
Montpelier, VA 23192-2550
Phone
(804) 883-0046
Fax
(804) 883-0048
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 0024168687 VA Primary

Addresses

Primary practice location

17112B Mountain Rd
Montpelier, VA 23192-2550

Mailing address

17112B Mountain Rd
Montpelier, VA 23192-2550
Phone (804) 883-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110503000670 VA Practitioner - Nurse Practitioner 7113102385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15078 Brown Pleasants Rd
Montpelier, VA 23192-2642
Phone (804) 883-0046

Hospital & facility affiliations

  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • James River Home Health Agency Home health agency, Richmond, VA, CCN 497706
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Commonwealth Home Care Home health agency, Richmond, VA, CCN 497703
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168687VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Family Practice PC Family CurrentSince Dec 28, 2010 Accepting new patients
Virginia Healthcare, PC Past Accepting new patients

Locations

9568 Kings Charter Dr
Ste 202
Ashland, VA 23005
Phone (804) 266-8717

17112 Mountain Rd
#B
Montpelier, VA 23192
Phone (804) 883-0046

15078 Brown Pleasants Rd
Montpelier, VA 23192
Phone (804) 883-0046

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1982926317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17112B MOUNTAIN RD",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922550",
            "telephone_number": "804-883-0046",
            "fax_number": "804-883-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17112B MOUNTAIN RD",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922550",
            "telephone_number": "804-883-0046",
            "fax_number": "804-883-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDT",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VA

Sources for this page

Verify at the official NPI Registry.