Individual provider Active NPI

Vickie Lou Brandon, DNP, FNP, CNS

  • Family Nurse Practitioner
  • Danville, VA
National Provider Identifier
1194793489
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024101739 Issued in VA
Practice address
300 Ringgold Industrial Pkwy
Danville, VA 24540-5548
Phone
(571) 314-6136
Fax
(920) 706-3788
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 0240955 VA
Family Nurse Practitioner 363LF0000X 0024101739 VA Primary

Addresses

Primary practice location

300 Ringgold Industrial Pkwy
Danville, VA 24540-5548

Mailing address

108 Watlington Dr # 1a
South Boston, VA 24592-4200
Phone (571) 314-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
0024101739VAMDFamily Nurse Practitioner
0240955VAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1194793489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WATLINGTON DR # 1A",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924200",
            "telephone_number": "571-314-6136",
            "fax_number": "920-706-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RINGGOLD INDUSTRIAL PKWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405548",
            "telephone_number": "571-314-6136",
            "fax_number": "920-706-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "VICKIE",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0240955",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024101739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.