Individual provider Active NPI

Dawn Marie Hunt

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1154935401
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179793 Issued in VA
Practice address
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Phone
(540) 786-9771
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179793 VA Primary

Addresses

Primary practice location

12006 Kilarney Dr
Fredericksburg, VA 22407-7207

Mailing address

4510 Plank Rd Ste 200
Fredericksburg, VA 22407-0138
Phone (540) 870-6550

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
I20201020000245 VA Practitioner - Nurse Practitioner 5193145811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179793VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chancellor Primary Care PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

4510 Plank Rd
Ste 200
Fredericksburg, VA 22407
Phone (540) 785-9900

Interoperability endpoints

  • Direct secure messaging: dawnhunt@cimva.allscriptsdirect.net

Organizations & group practices 1

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1154935401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PLANK RD STE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070138",
            "telephone_number": "540-870-6550",
            "fax_number": "540-870-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 KILARNEY DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077207",
            "telephone_number": "540-786-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-07-20",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.