Emmylou K McDaniel, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

77925 Issued in WV

Practice address

1802 Braeburn Dr
Salem, VA 24153-7357

Phone

(540) 772-3485

Fax

(540) 772-3486

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Emmylou Woolfitt Former name

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Davis Memorial Hospital

  • General Acute Care Hospital
  • Elkins, WV
  • NPI 1619964806
  Medicare reassignment NPD
• Davis Memorial Hospital

  • Community/Retail Pharmacy
  • Elkins, WV
  • NPI 1700663226
  NPD
• Highlands Community Services

  • Community/Behavioral Health Agency
  • Abingdon, VA
  • NPI 1396774147
  NPD (past)
• Womens & Childrens Center LLC

  • Obstetrics & Gynecology Physician
  • Low Moor, VA
  • NPI 1831380260
  NPD (past)
• Willow Ridge PLLC

  • Psychiatry Physician
  • Lewisburg, WV
  • NPI 1629241880
  NPD (past)

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1174881205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3485",
            "fax_number": "540-772-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-772-3485",
            "fax_number": "540-772-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "EMMYLOU",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "77925",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174881205",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMYLOU",
            "last_name": "WOOLFITT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendal McCarty
• Andrea C McClure, AU.D
• Selena Christie McCorkle, LPTA
• Jeremy Blake McCormick, DPT
• Rebecca Wood McCraven, PHARM.D.
• Martha Anne McDearmon, PHARM. D.
• Robert McDonald, RPH
• Janet L. McElligott, LCSW
• Jessica McFall
• Clinton Johnathon McGarvey, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Salem, VA
• Providers in Salem, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.

Verify at the official NPI Registry.