Individual provider Active NPI

Carrie Sizemore Hall, FNP-BC

  • Nurse Practitioner
  • Galax, VA
National Provider Identifier
1154049823
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024184696 Issued in VA
Practice address
104 Cranberry Rd Ste 200a
Galax, VA 24333-0009
Phone
(276) 236-9953
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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 0024184696 VA Primary

Addresses

Primary practice location

104 Cranberry Rd Ste 200a
Galax, VA 24333-0009

Mailing address

16 Miracle Valley LN
Ennice, NC 28623-9235
Phone (336) 466-2843

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221013003354 VA Practitioner - Nurse Practitioner 2668848748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Nov 1, 2022 Accepting new patients
DLP Twin County Physician Practices LLC Nurse Practitioner Current Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

104 Cranberry Rd
Ste 200A
Galax, VA 24333
Phone (276) 236-9953

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Organizations & group practices 3

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": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1154049823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MIRACLE VALLEY LN",
            "city": "ENNICE",
            "state": "NC",
            "postal_code": "286239235",
            "telephone_number": "336-466-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CRANBERRY RD STE 200A",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243330009",
            "telephone_number": "276-236-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CARRIE",
        "middle_name": "SIZEMORE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.