Individual provider Active NPI

Dorotha C Owens II

  • Family Nurse Practitioner
  • Winchester, VA
National Provider Identifier
1164459483
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001066288 Issued in VA
Practice address
333 W Cork St
#450
Winchester, VA 22601-3870
Phone
(540) 536-5210
Fax
(540) 686-7961
NPI assigned
Jun 26, 2006
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 0001066288 VA Primary

Addresses

Primary practice location

333 W Cork St
#450
Winchester, VA 22601-3870

Mailing address

333 W Cork St
#450
Winchester, VA 22601-3870
Phone (540) 536-5210

Other practice location 1

9166 N Congress St
New Market, VA 22844-9422
Phone (540) 459-1340

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dowens110476@soc.inova.org
Direct Messaging Address dowens110476@soc.inova.org

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
I20060914000648 VA Practitioner - Nurse Practitioner 6406850999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9166 N Congress St
New Market, VA 22844-9422
Phone (540) 459-1340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001066288VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Oct 8, 2018 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Dec 2, 2013 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Dec 2, 2013 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Memorial Hospital Inc. Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

5173 Main St
Mount Jackson, VA 22842
Phone (540) 459-1350

9166 N Congress St
New Market, VA 22844
Phone (540) 459-1340

333 W Cork St
Winchester, VA 22601
Phone (540) 536-5114

333 W Cork St
#450
Winchester, VA 22601
Phone (540) 536-5210

333 W Cork St
Ste 290
Winchester, VA 22601
Phone (540) 536-5121

333 W Cork St
Unit 405
Winchester, VA 22601
Phone (540) 313-9200

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Interoperability endpoints

  • Direct secure messaging: dowens110476@soc.inova.org
  • Direct secure messaging: dowens110476@valleyhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1164459483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "address_2": "#450",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5210",
            "fax_number": "540-686-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W CORK ST",
            "address_2": "#450",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013870",
            "telephone_number": "540-536-5210",
            "fax_number": "540-686-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9166 N Congress St",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "VA",
            "postal_code": "228449422",
            "country_code": "US",
            "telephone_number": "540-459-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DOROTHA",
        "middle_name": "C",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001066288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dowens110476@soc.inova.org",
            "affiliation": "N",
            "address_1": "5173 Main St",
            "city": "Mount Jackson",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228429513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dowens110476@soc.inova.org",
            "affiliation": "N",
            "address_1": "9166 N Congress St",
            "city": "New Market",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228449422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.