Active NPI
Sally A Dameron, NP
- Nurse Practitioner
- Fishersville, VA
National Provider Identifier
1427153741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024167129
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 932-4000
- NPI assigned
- Sep 13, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024167129 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
PO Box 1000
Fishersville, VA 22939-1000
Phone (540) 932-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08081 | Other | VA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Family Medicine PLC | Past | Accepting new patients |
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
- Staunton, VA
- NPI 1356432892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1427153741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229391000",
"telephone_number": "540-932-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-932-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "SALLY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024167129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C08081",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.