Active NPI
Nancy Mary Dalton, LPN
- Licensed Practical Nurse
- Fort Pierce, FL
National Provider Identifier
1225306228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 5170466
- Practice address
- 4500 W Midway Rd
Fort Pierce, FL 34981-4823 - Phone
- (772) 672-8481
- NPI assigned
- Dec 5, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 5170466 | FL | Primary |
Addresses
Primary practice location
4500 W Midway Rd
Fort Pierce, FL 34981-4823
Mailing address
444 SW Meadow Ter
Port St Lucie, FL 34984-3545
Phone (772) 342-5792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5170466 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1225306228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 SW MEADOW TER",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349843545",
"telephone_number": "772-342-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 W MIDWAY RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349814823",
"telephone_number": "772-672-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "NANCY",
"middle_name": "MARY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "5170466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.