Active NPI
VLD,PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Virginia Little Dailey, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.