FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. – NPI #1861583510
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. is a provider located in FREDERICKSBURG, VA. NPPES has assigned the NPI number 1861583510 to FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. on September 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Nov 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC. below.

NPI Profile for
FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.

NPI Number
1861583510
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FREDERICKSBURG NEPHROLOGY ASSOCIATES, INC.
Primary location
101 PARK HILL DR
FREDERICKSBURG, VA 22401-3357
Phone: (540) 371-3010 Fax: (540) 899-9821
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMMY PROVENCHER
CREDENTIALING SUPERVISOR
Phone: (540) 371-3010
Updated
Certification Date
Nov 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 VA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.