Organization Active NPI

Best Practice Disease Management, Inc.

  • Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1245496769
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
00241541175 Issued in VA
Legal business name
BEST PRACTICE DISEASE MANAGEMENT, INC.
Practice address
3616 Derby Dr
Roanoke, VA 24012-6531
Phone
(540) 774-7776
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Mr. Damon Kenton
Title
Ceo
Phone
(612) 242-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 00241541175 VA Primary

Addresses

Primary practice location

3616 Derby Dr
Roanoke, VA 24012-6531

Mailing address

PO Box 950666
Lake Mary, FL 32795-0666
Phone (407) 942-0201

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1245496769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950666",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950666",
            "telephone_number": "407-942-0201",
            "fax_number": "407-842-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 DERBY DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126531",
            "telephone_number": "540-774-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST PRACTICE DISEASE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "KENTON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-242-9517",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "00241541175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.