Active NPI
Carrie Sizemore Hall, FNP-BC
- Nurse Practitioner
- Galax, VA
National Provider Identifier
1154049823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024184696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Nurse Practitioner | Current | Accepting new patients |
| DLP Twin County Physician Practices LLC | Current | 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.
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- NPI 1962078527
Nurse Practitioner
-
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- Galax, VA
- NPI 1033485925
-
- Family Medicine Physician
- Galax, VA
- NPI 1235404047
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.