Individual provider Active NPI

Beth Shavon Dalton, FNP-C

  • Family Nurse Practitioner
  • Wytheville, VA
National Provider Identifier
1346756996
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175593 Issued in VA
Practice address
1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone
(276) 228-6499
Fax
(276) 228-3311
NPI assigned
Dec 19, 2017
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175593 VA Primary

Addresses

Primary practice location

1785 W Lee Hwy
Wytheville, VA 24382-1437

Mailing address

1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 228-6499

Other practice location 1

5275 Alexander Rd Ste A
Dublin, VA 24084-3657
Phone (540) 307-5597

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
I20180129002586 VA Practitioner - Nurse Practitioner 9436419108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1155 N 4TH St
Wytheville, VA 24382-1096
Phone (276) 625-8866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175593VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC CurrentSince Nov 27, 2017 Accepting new patients
Forest Family Care, Inc CurrentSince Mar 25, 2020 Accepting new patients
Wythe County Physician Practices LLC CurrentSince Dec 1, 2022 Accepting new patients
Wvva Health Care Alliance, PC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

5275 Alexander Rd
Ste A
Dublin, VA 24084
Phone (540) 307-5597

1155 N 4th St
Wytheville, VA 24382
Phone (276) 228-0840

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 228-5069

1785 W Lee Hwy
Wytheville, VA 24382
Phone (276) 228-3355

245 Holston Rd
Ste B
Wytheville, VA 24382
Phone (276) 227-0460

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1100 9th St
Ste E
Vienna, WV 26105

Interoperability endpoints

  • Direct secure messaging: beth.dalton.1@19847.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1346756996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821437",
            "telephone_number": "276-228-6499",
            "fax_number": "276-228-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W LEE HWY",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821437",
            "telephone_number": "276-228-6499",
            "fax_number": "276-228-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 Alexander Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "VA",
            "postal_code": "240843657",
            "country_code": "US",
            "telephone_number": "540-307-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "BETH",
        "middle_name": "SHAVON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.