Individual provider Active NPI

Lydia Dunaway Shelton, M.S.N.,WHNP,FNP

  • Registered Nurse
  • Danville, VA
National Provider Identifier
1154311520
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001069785 Issued in 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
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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 0001069785 VA Primary
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

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
I20050224000107 VA Practitioner - Nurse Practitioner 4183677743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Rucker St
Suite 123
Stuart, VA 24171-1619
Phone (276) 694-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001069785VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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 VA State Board of Health CurrentSince Apr 1, 2022 Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Apr 1, 2022 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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1154311520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414023",
            "telephone_number": "434-799-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DANVILLE HEALTH DEPARTMENT",
            "address_2": "326 TAYLOR DRIVE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "24541",
            "telephone_number": "434-799-5190",
            "fax_number": "434-799-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "LYDIA",
        "middle_name": "DUNAWAY",
        "credential": "M.S.N.,WHNP,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001069785",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024069785",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024069785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.