Provider Demographics
NPI:1598706806
Name:RANKINS, NICOLE C (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:C
Last Name:RANKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7650
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-0150
Mailing Address - Country:US
Mailing Address - Phone:804-507-1644
Mailing Address - Fax:804-507-0116
Practice Address - Street 1:1603 SKIPWITH RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5253
Practice Address - Country:US
Practice Address - Phone:804-507-1644
Practice Address - Fax:804-507-0116
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243030207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherFIRST HEALTH COMMERCIAL
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VAPAROtherMULTIPLAN
VA350790OtherANTHEM
NC5904274Medicaid
VAPAROtherVA PREMIER HEALTH
VA1598706806Medicaid
VA10032467OtherSENTARA/OPTIMA
VA2720919OtherCIGNA
VA3179017OtherUHC/MAMSI
VA7145814OtherAETNA
VA-010OtherTRICARE/CHAMPUS
VAPAROtherVA HEALTH NETWORK
NC04274OtherNC BC/BS
VA7145814OtherAETNA