COMMONWEALTH EXTENDED CARE
NPI 1487011367
Nurse Practitioner - Family in Richmond, VA
NPI Status: Active since January 22, 2016
Contact Information
1800 GLENSIDE DR
SUITE 103
RICHMOND, VA
ZIP 23226
Phone: (804) 285-7425
Fax: (804) 673-7074
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 49D2082028
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-14-2026
About COMMONWEALTH EXTENDED CARE
This page provides the complete NPI Profile along with additional information for Commonwealth Extended Care, a provider established in Richmond, Virginia operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1487011367 assigned on January 2016. The practitioner's primary taxonomy code is 363LF0000X with license number 0024172915 (VA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Commonwealth Extended Care. The authorized official of this NPI record is Dr. Karissa L. Hackelton M.d. (Medical Director/phyician/sharehold)
- NPI
- 1487011367
- Provider Legal Name
- COMMONWEALTH PRIMARY CARE
- Other Organization Name
- COMMONWEALTH EXTENDED CARE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1800 GLENSIDE DR SUITE 103 RICHMOND, VA 23226
- Location Phone
- (804) 285-7425
- Location Fax
- (804) 673-7074
- Mailing Address
- 1800 GLENSIDE DR SUITE 103 RICHMOND, VA 23226
- Mailing Phone
- (804) 285-7425
- Mailing Fax
- (804) 673-7074
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2016
- Last Update Date
- 01-22-2016
- Code Navigator
A nurse practitioner (NP) like Commonwealth Extended Care is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0024172915
- License State
- VA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2082028
- Facility Type
- Physician Office
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- MARGARET C. WESTIN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Commonwealth Extended Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1487011367, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
RICHMOND, VA 23226
RICHMOND, VA 23226
RICHMOND, VA 23226
RICHMOND, VA 23226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487011367, enumerated as an "organization" on January 22, 2016.
The provider is located at 1800 GLENSIDE DR SUITE 103 RICHMOND, VA 23226 and the phone number is (804) 285-7425.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
