Individual provider Active NPI

Farren Dodson Detoll, FNP

  • Family Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1346856721
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001245519 Issued in VA
Practice address
16268 Bennett Rd
Culpeper, VA 22701-4630
Phone
(540) 825-6263
Fax
(540) 825-4911
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 0001245519 VA Primary

Addresses

Primary practice location

16268 Bennett Rd
Culpeper, VA 22701-4630

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other names 1

  • Farren Dodson Beach Former name

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
I20201027003372 VA Practitioner - Nurse Practitioner 0446660773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001245519VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Oct 19, 2020 Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263

Interoperability endpoints

  • Direct secure messaging: farren.dodson.1@16535.direct.athenahealth.com

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1346856721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16268 BENNETT RD",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227014630",
            "telephone_number": "540-825-6263",
            "fax_number": "540-825-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETOLL",
        "first_name": "FARREN",
        "middle_name": "DODSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001245519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARREN",
            "last_name": "BEACH",
            "middle_name": "DODSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.