Active NPI
Shirin Maryah Dalai, FNP
- Family Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1346583846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024170759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001204321 | VA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Medical Center LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1972759496
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.