Lydia Dunaway Shelton, M.S.N.,WHNP,FNP
Individual provider Active NPI Registered Nurse · Danville, VA
NPI 1154311520 · NPPES record last updated Mar 14, 2008
Key facts
- NPI
- 1154311520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0001069785 (VA)
- Practice address
- Danville Health Department
326 Taylor Drive
Danville, VA 24541 - Phone
- (434) 799-5190
- Fax
- (434) 799-5022
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth of Virginia State Board of Health
Practice addresses (Care Compare)
106 Rucker St
Suite 123
Stuart, VA 24171-1619
Phone (276) 694-3188
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000107 | VA | Practitioner - Nurse Practitioner | 4183677743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001069785 | VA | MD | Registered Nurse |
| 0024069785 | VA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of VA State Board of Health | Current |
Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current | Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current |
Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current | Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current | Accepting new patients |
Locations
326 Taylor Dr
Danville, VA 24541
Phone (434) 766-9828
295 Commonwealth Blvd W
Martinsville, VA 24112
Phone (276) 638-2311
109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009
365 Pell Ave
Rocky Mount, VA 24151
Phone (540) 484-0292
106 Rucker St
Ste 123
Stuart, VA 24171
Phone (276) 694-3188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001069785 | VA | Yes |
| Family Nurse Practitioner | 363LF0000X | 0024069785 | VA | |
| Women's Health Nurse Practitioner | 363LW0102X | 0024069785 | VA |
Addresses
Primary practice location
Danville Health Department
326 Taylor Drive
Danville, VA 24541
Mailing address
326 Taylor Dr
Danville, VA 24541-4023
Phone (434) 799-5190
Other providers in Danville, VA
- Caron D. Sharp
- Casey Sharp
- Stefanie Trickler Sheldon
- Elizabeth Joy Shelton
- Joseph D Shelton
- Sher Ahmad Sher
- Sherwood Oral Surgery
- Colin Sherwood
- Richard L Sherwood
- Jeremy Shifflett
All providers in Danville, VA · Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.