Individual provider Active NPI

Daleen L Lewis, FNP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1427004324
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166073 Issued in VA
Practice address
2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Phone
(984) 227-8902
NPI assigned
May 25, 2006
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 0024166073 VA Primary

Addresses

Primary practice location

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232

Mailing address

949 Piney Forest Rd
Danville, VA 24540-1591
Phone (434) 835-4876

Other practice location 1

441 Piney Forest Rd
Suite E
Danville, VA 24540-4154
Phone (434) 791-4110

Other identifiers 1

IdentifierTypeStateIssuer
1427004324MedicaidVA

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
I20040628000072 VA Practitioner - Nurse Practitioner 3072599323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

1945 Roanoke Blvd
Salem, VA 24153-6408
Phone (540) 345-3894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024166073VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Apr 9, 2024 Accepting new patients
Pai Participant 1 LLC CurrentSince Apr 21, 2024 Accepting new patients
Danville Urologic Clinic Inc Past Accepting new patients
Danville Emergency Physicians, PC Past Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients
Danville Emergency Group LLC Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

2344 Riverside Dr
Danville, VA 24540
Phone (434) 791-2884

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Interoperability endpoints

  • Direct secure messaging: daleenlewis@coan.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1427004324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401591",
            "telephone_number": "434-835-4876",
            "fax_number": "434-835-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 MERIDIAN PKWY STE 323",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134232",
            "telephone_number": "984-227-8902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Piney Forest Rd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404154",
            "country_code": "US",
            "telephone_number": "434-791-4110",
            "fax_number": "434-791-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DALEEN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427004324",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.