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Blue Ridge Family Medicine

Family Medicine Physician in Rural Retreat, VA · enumerated 2023 · authorized official Kiimberly Lacy, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669178430

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Ridge Family Medicine
Practice address 445 Gienow Rd, Rural Retreat, VA, 24368
Enumeration date Feb 3, 2023
Last updated in NPPES Oct 14, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kiimberly Lacy
Title Physician

Other identifiers

Identifier Type State Issuer
30017597520001 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Blue Ridge Family Medicine?
Blue Ridge Family Medicine is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-14.