Active NPI
Danielle Kelly Foltz, MSN, CPNP
- Pediatric Nurse Practitioner
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5008905
- Practice address
- Johnson Health Center
320 Federal Street
Lynchburg, VA 24504 - Phone
- (434) 947-5967
- NPI assigned
- Oct 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5008905 | NC | Primary |
Addresses
Primary practice location
Johnson Health Center
320 Federal Street
Lynchburg, VA 24504
Mailing address
3801 Computer Dr Ste 200
Raleigh, NC 27609-6506
Phone (919) 782-5273
Other practice location 1
3801 Computer Dr Ste 200
Raleigh, NC 27609-6506
Phone (919) 782-5273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053716233 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008905 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Health Center | Current | Accepting new patients |
Locations
320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967
2402 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-6401
109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lynchburg Women's and Pediatric Health Services
- Federally Qualified Health Center (FQHC)
- Lynchburg, VA
- NPI 1821212481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1053716233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 COMPUTER DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096506",
"telephone_number": "919-782-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOHNSON HEALTH CENTER",
"address_2": "320 FEDERAL STREET",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "24504",
"telephone_number": "434-947-5967"
}
],
"practiceLocations": [
{
"address_1": "3801 Computer Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276096506",
"country_code": "US",
"telephone_number": "919-782-5273",
"fax_number": "919-781-8853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLTZ",
"first_name": "DANIELLE",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5008905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053716233",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.