Active NPI
Nurse Anesthesia of Virginia PLLC
- Certified Registered Nurse Anesthetist
- Danville, VA
National Provider Identifier
1053435388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- NURSE ANESTHESIA OF VIRGINIA PLLC
- Practice address
- 142 S Main St
Anesthesia Dept
Danville, VA 24541-2922 - Phone
- (434) 799-2375
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Dale Hilliard
- Title
- Cfo
- Phone
- (336) 899-1401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
142 S Main St
Anesthesia Dept
Danville, VA 24541-2922
Mailing address
PO Box 10824
Birmingham, AL 35202-0824
Phone (205) 322-1808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000362 | Medicaid | NC | |
| 1053435388 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219363200000",
"number": "1053435388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10824",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352020824",
"telephone_number": "205-322-1808",
"fax_number": "205-322-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"address_2": "ANESTHESIA DEPT",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-2375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE ANESTHESIA OF VIRGINIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-08-22",
"status": "A",
"authorized_official_last_name": "HILLIARD",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "336-899-1401"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8000362",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053435388",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.