Active NPI
Barbara Fallon, N.P.
- Ambulatory Women's Health Care Registered Nurse
- Williamsburg, VA
National Provider Identifier
1063683191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 0024100994
- Practice address
- 74 Winster Fax
Williamsburg, VA 23185-5545 - Phone
- (757) 871-3265
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 0024100994 | VA | Primary |
| Nurse Practitioner | 363L00000X | CNP-02656 | NM | |
| Nurse Practitioner | 363L00000X | LH0000212 | DE |
Addresses
Primary practice location
74 Winster Fax
Williamsburg, VA 23185-5545
Mailing address
74 Winster Fax
Williamsburg, VA 23185-5545
Phone (757) 871-3265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729010059 | NM | Order and Referring Only - Nurse Practitioner | 4789866823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024100994 | VA | MD | Ambulatory Women's Health Care Registered Nurse |
| LH0000212 | DE | MD | Nurse Practitioner |
| CNP-02656 | NM | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1063683191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 WINSTER FAX",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855545",
"telephone_number": "757-871-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 WINSTER FAX",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855545",
"telephone_number": "757-871-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "BARBARA",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "VA",
"license": "0024100994",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "CNP-02656",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LH0000212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
- Cleve Winfield Ewell III, M.D.
- Eye 2 Eye Vision Center PC
- Traci J Fairheart, DPT
- Lauren Dickey Faisant, LCSW
- Faith Hope Care Provider
- Family Care of Williamsburg
- Family Care Pharmacy Inc
- Family Eye Care - Dr. David Barley & Associates, Optometrists, PC
- Family Home Care Assistance LLC
- Family Priority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.