Active NPI
Jonette Talbott, MD
- Pediatric Nurse Practitioner
- South Boston, VA
National Provider Identifier
1225006885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Practice address
- 2212 Wilborn Ave
South Boston, VA 24592-1630 - Phone
- (434) 572-8921
- Fax
- (434) 572-2063
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | VA | Primary |
Addresses
Primary practice location
2212 Wilborn Ave
South Boston, VA 24592-1630
Mailing address
2212 Wilborn Ave
South Boston, VA 24592
Phone (434) 572-8921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35419N | Other | VA | OPTIMA |
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
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024164770 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225006885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "24592",
"telephone_number": "434-572-8921",
"fax_number": "434-572-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245921630",
"telephone_number": "434-572-8921",
"fax_number": "434-572-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOTT",
"first_name": "JONETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "35419N",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.