Davenna McGlone-Young, C.F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0001093894 Issued in VA

Practice address

576 Jefferson Ave
McDonald Army Community Health Center
Fort Eustis, VA 23604

Phone

(757) 314-7583

Fax

(757) 314-7655

NPI assigned

Apr 20, 2006

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Little Clinic of Virginia, LLC

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, TN
  • NPI 1538304225
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1144285032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE RM 331",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041373",
            "telephone_number": "757-314-7500",
            "fax_number": "757-314-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY COMMUNITY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "23604",
            "telephone_number": "757-314-7583",
            "fax_number": "757-314-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLONE-YOUNG",
        "first_name": "DAVENNA",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001093894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McDonald Army Health Center (Usadc Tignor-Langley-Eustis)
• McDonald Army Health Center (TMC-1-Eustis)
• McDonald Army Health Center (TMC-2-Eustis)
• McDonald Army Health Center (Usadc Mahc-Langley-Eustis)
• Marcus F McDonald, DMD
• Denise McGuire, RDH
• Catherine McNeal, IDHS
• Gregory James Meighen, DMD
• Domingo Faustino Mejia Jr.
• Dina Menard Brown, NP

• Family Nurse Practitioner in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.

Verify at the official NPI Registry.