Individual provider Active NPI

Zachary Lee Page, FNP

  • Family Nurse Practitioner
  • Galax, VA
National Provider Identifier
1992127328
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171401 Issued in VA
Practice address
200 Hospital Dr
Galax, VA 24333-2227
Phone
(276) 236-1648
NPI assigned
Jan 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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 0024171401 VA Primary

Addresses

Primary practice location

200 Hospital Dr
Galax, VA 24333-2227

Mailing address

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1648

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
I20140319002297 VA Practitioner - Nurse Practitioner 2961633763 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024171401VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Aug 25, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince Dec 2, 2024 Accepting new patients
Kingsford Physician Services, LLC CurrentSince Jul 2, 2018 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Jun 29, 2018 Accepting new patients

Locations

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 5

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1992127328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332227",
            "telephone_number": "276-236-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "ZACHARY",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.