Active NPI
Daleen L Lewis, FNP
- Family Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024166073
- Practice address
- 2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232 - Phone
- (984) 227-8902
- NPI assigned
- May 25, 2006
- Last updated
- Apr 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427004324 | Medicaid | VA |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024166073 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health Corporation | Current | Accepting new patients | |
| Pai Participant 1 LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
VA
-
- Emergency Medicine Physician
- Danville, VA
- NPI 1235373077
-
- Emergency Medicine Physician
- Danville, VA
- NPI 1598718751
-
dba Southside Urology & Nephrology
- Nephrology Physician
- Danville, VA
- NPI 1619927100
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Ambulatory Surgical Clinic/Center
- Danville, VA
- NPI 1821064031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.