| Sapphire Family Practice | |
|
1956 Evelyn Byrd Ave Harrisonburg VA 22801-3423 | |
| (515) 822-1178 | |
| Not Available |
| Full Name | Sapphire Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1956 Evelyn Byrd Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Michelle W. K. Seekford (OWNER) |
| Authorized Official Contact | 5404345709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sapphire Family Practice 1956 Evelyn Byrd Ave Harrisonburg VA 22801-3423 Ph: (540) 217-4455 | Sapphire Family Practice 1956 Evelyn Byrd Ave Harrisonburg VA 22801-3423 Ph: (515) 822-1178 |
| NPI Number | 1154965945 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 01/23/2020 |
| Medicare PECOS PAC ID | 8921434168 |
|---|---|
| Medicare Enrollment ID | O20200205003113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154965945 | NPI | - | NPPES |
| 1073051587 | Medicaid | VA | |
| 1841712957 | Medicaid | VA | |
| 1568432706 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donna C Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477832731 PECOS PAC ID: 5193990760 Enrollment ID: I20111209000007 |
| Provider Name | Heather C Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508311465 PECOS PAC ID: 3971882366 Enrollment ID: I20161107001637 |
| Provider Name | Michelle K Seekford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051587 PECOS PAC ID: 0244489938 Enrollment ID: I20170612001432 |
| Provider Name | Cayla Christine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871272187 PECOS PAC ID: 3173979366 Enrollment ID: I20231024002924 |
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