Individual provider Active NPI

Shirin Maryah Dalai, FNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1346583846
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170759 Issued in VA
Practice address
4876 Baxter Rd.
First Choice Medical Care
Virginia Beach, VA 23462
Phone
(757) 671-7777
Fax
(757) 671-7778
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001204321 VA
Family Nurse Practitioner 363LF0000X 0024170759 VA Primary

Addresses

Primary practice location

4876 Baxter Rd.
First Choice Medical Care
Virginia Beach, VA 23462

Mailing address

4876 Baxter Rd.
First Choice Medical Care
Virginia Beach, VA 23462
Phone (757) 671-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001854 VA Practitioner - Nurse Practitioner 2567689763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001204321VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical Center LLC CurrentSince Apr 8, 2014 Accepting new patients

Locations

4876 Baxter Rd
Virginia Beach, VA 23462
Phone (757) 671-7777

4876 Baxter Rd
#101
Virginia Beach, VA 23462
Phone (757) 671-7777

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3676/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1346583846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4876 BAXTER RD.",
            "address_2": "FIRST CHOICE MEDICAL CARE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-671-7777",
            "fax_number": "757-671-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 BAXTER RD.",
            "address_2": "FIRST CHOICE MEDICAL CARE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-671-7777",
            "fax_number": "757-671-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAI",
        "first_name": "SHIRIN",
        "middle_name": "MARYAH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001204321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.