Individual provider Active NPI

Nancy A Darmory, CPNP

  • Pediatric Nurse Practitioner
  • Reston, VA
National Provider Identifier
1104049584
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024164564 Issued in VA
Practice address
1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292
Phone
(703) 435-3636
Fax
(703) 435-9145
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024164564 VA Primary

Addresses

Primary practice location

1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292

Mailing address

1830 Town Center Dr
Suite # 205
Reston, VA 20190-3292
Phone (703) 435-3636

Other identifiers 1

IdentifierTypeStateIssuer
7790783MedicaidVA

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
Certified Pediatric Nurse Practitioner, Master of Science

State licenses

LicenseStateTypeSpecialty
0024164564VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trusted Doctors LLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1104049584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE # 205",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-435-3636",
            "fax_number": "703-435-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE # 205",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-435-3636",
            "fax_number": "703-435-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMORY",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024164564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790783",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.