Mary Danley Catlett, F. N. P.
Individual provider Active NPI Family Nurse Practitioner · Mount Jackson, VA
NPI 1467740324 · NPPES record last updated Mar 7, 2012
Key facts
- NPI
- 1467740324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024169495 (VA)
- Practice address
- 5173 Main St
Mount Jackson, VA 22842-9513 - Phone
- (540) 459-1350
- Fax
- (540) 459-1351
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120416000016 | VA | Practitioner - Nurse Practitioner | 5193986354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169495 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Enterprise, Inc | Current |
Accepting new patients | |
| Valley Physician Enterprise, Inc. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
5173 Main St
Mount Jackson, VA 22842
Phone (540) 459-1350
220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
Interoperability endpoints
- mary.catlett.1@17374.direct.athenahealth.com
- mary.catlett.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024169495 | VA | Yes |
Addresses
Primary practice location
5173 Main St
Mount Jackson, VA 22842-9513
Mailing address
5173 Main St
Mount Jackson, VA 22842-9513
Phone (540) 459-1350
Other providers in Mount Jackson, VA
- Assisting Angels Home Care LLC
- Brittany Leigh Barbarisi
- Nancy L. Brubaker
- Careteam, LLC
- Amanda Elaine Catherman
- Sharon Sammons Clark
- Jennifer Denise Cunningham
- Daniel Zale DDS PC
- DKKP Inc
- Larry L Fuchs
All providers in Mount Jackson, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.