Active NPI
Beth Lynn Ancell, BA ECED
- Developmental Therapist
- Winchester, VA
National Provider Identifier
1093346736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- CP-512956
- Practice address
- 3150 Shawnee Dr
Winchester, VA 22601-4208 - Phone
- (540) 450-1052
- NPI assigned
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
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.
-
- Psychiatric Residential Treatment Facility
- Winchester, VA
- NPI 1265766612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP-512956 | VA | MD | Developmental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grafton School | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | CP-512956 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3150 Shawnee Dr
Winchester, VA 22601-4208
Mailing address
210 Virginia Ave
Luray, VA 22835-1212
Phone (540) 533-1655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2020.
{
"created_epoch": "1580428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1093346736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 VIRGINIA AVE",
"city": "LURAY",
"state": "VA",
"postal_code": "228351212",
"telephone_number": "540-533-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 SHAWNEE DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226014208",
"telephone_number": "540-450-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCELL",
"first_name": "BETH",
"middle_name": "LYNN",
"credential": "BA ECED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-31",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "VA",
"license": "CP-512956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.