Organization Active NPI

VLD,PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boone, NC
National Provider Identifier
1225422397
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201837 Issued in NC
Legal business name
VLD,PLLC
Practice address
643 Greenway Rd Ste J
Suite 1
Boone, NC 28607-4840
Phone
(828) 406-2607
Fax
(828) 581-4284
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Ms. Virginia Little Dailey, NPNPI 1033432711
Title
Owner
Phone
(828) 773-3277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 201837 NC Primary

Addresses

Primary practice location

643 Greenway Rd Ste J
Suite 1
Boone, NC 28607-4840

Mailing address

643 Greenway Rd Ste J
Suite 1
Boone, NC 28607-4840
Phone (828) 406-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150422001354 NC Part B Supplier - Clinic/Group Practice 7517285513 Receives reassigned benefits from 2 practitioners
Practice locations: Boone, NC; Mooresville, NC

National Provider Directory

National Provider Directory

Locations

643 Greenway Rd
Ste J1
Boone, NC 28607
Phone (828) 406-2607

862 Brawley School Rd
Ste 106
Mooresville, NC 28117
Phone (828) 406-2607

115 Atwood St
Ste 411
Sparta, NC 28675
Phone (828) 406-2607

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1225422397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD STE J",
            "address_2": "SUITE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074840",
            "telephone_number": "828-406-2607",
            "fax_number": "828-581-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 GREENWAY RD STE J",
            "address_2": "SUITE 1",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074840",
            "telephone_number": "828-406-2607",
            "fax_number": "828-581-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "LITTLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-773-3277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "201837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.