Individual provider Active NPI

Deana J. Duffield, NP

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1124486626
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173320 Issued in VA
Practice address
24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone
(276) 619-0075
Fax
(276) 619-0077
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001239878 VA
Family Nurse Practitioner 363LF0000X 21296 TN
Family Nurse Practitioner 363LF0000X 0024173320 VA Primary

Addresses

Primary practice location

24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701

Other practice location 2

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

Other practice location 3

344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone (276) 883-5900

Other practice location 4

601 Commonwealth Dr
Norton, VA 24273-4053
Phone (276) 679-6028

Other practice location 5

245 Medical Park Dr Ste C
Marion, VA 24354-1100
Phone (276) 378-3300

Other practice location 6

405 Scenic Dr Ste A
Rogersville, TN 37857-2441
Phone (423) 921-3490

Other practice location 7

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160406000407 VA Practitioner - Nurse Practitioner 4284932310 Reassigns benefits to 2 organizations
I20160719002801 TN Practitioner - Nurse Practitioner 4284932310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Medical Management Corporation 283 clinicians
Wellmont Medical Associates Inc 432 clinicians

Practice addresses (Care Compare)

245 Medical Park Dr
Suite C
Marion, VA 24354-1100
Phone (276) 378-3300

24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

Hospital & facility affiliations

  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001239878VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Jan 18, 2023 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jun 27, 2016 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Feb 22, 2016 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 18, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Feb 22, 2016 Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200

344 Overlook Dr
Ste 200
Lebanon, VA 24266
Phone (276) 883-5900

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

601 Commonwealth Dr
Norton, VA 24273
Phone (276) 679-5880

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1124486626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24530 FALCON PLACE BLVD",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117665",
            "telephone_number": "276-619-0075",
            "fax_number": "276-619-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 W State St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201817",
            "country_code": "US",
            "telephone_number": "423-844-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Overlook Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242734053",
            "country_code": "US",
            "telephone_number": "276-679-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Scenic Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572441",
            "country_code": "US",
            "telephone_number": "423-921-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Island Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242017403",
            "country_code": "US",
            "telephone_number": "276-469-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "DEANA",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001239878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21296",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.