Individual provider Active NPI

Debra Lee Bright, FNP

  • Nurse Practitioner
  • Troutville, VA
National Provider Identifier
1104811520
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024164903 Issued in VA
Practice address
37 Laymantown Rd
Troutville, VA 24175-6635
Phone
(540) 977-1436
Fax
(540) 977-4230
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024164903 VA Primary

Addresses

Primary practice location

37 Laymantown Rd
Troutville, VA 24175-6635

Mailing address

37 Laymantown Rd
P. O. Box 200, Blue Ridge, VA. 24064
Troutville, VA 24175-6635
Phone (540) 977-1436

Other identifiers 2

IdentifierTypeStateIssuer
010389861MedicaidVA
P00387201OtherVAMEDICARE RAILROAD

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation 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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1104811520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 LAYMANTOWN RD",
            "address_2": "P. O. BOX 200, BLUE RIDGE, VA. 24064",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241756635",
            "telephone_number": "540-977-1436",
            "fax_number": "540-977-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 LAYMANTOWN RD",
            "city": "TROUTVILLE",
            "state": "VA",
            "postal_code": "241756635",
            "telephone_number": "540-977-1436",
            "fax_number": "540-977-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024164903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010389861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00387201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.