Individual provider Active NPI

James Robert Dyson

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1467937854
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176656 Issued in VA
Practice address
14010 Smoketown Rd # 103
Woodbridge, VA 22192-4722
Phone
(571) 402-7322
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 0024176656 VA Primary

Addresses

Primary practice location

14010 Smoketown Rd # 103
Woodbridge, VA 22192-4722

Mailing address

88 Peaceful LN
Linden, VA 22642-5144
Phone (571) 428-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190328001892 MD Practitioner - Nurse Practitioner 1456695535 Reassigns benefits to 2 organizations
I20191021000096 DC Practitioner - Nurse Practitioner 1456695535

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verghese and Ling M.D.P.a.Group PAC ID 3476637877, 5 clinicians

Practice addresses (Care Compare)

173 Saint Patricks Dr
Suite 201
Waldorf, MD 20603-5531
Phone (301) 396-3401

Merit-based Incentive Payment System (MIPS)

Final score
89.19 of 100Reported as individual
Quality
78.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176656VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Verghese & Ling M.D.P.a. CurrentSince Aug 16, 2021 Accepting new patients

Locations

22738 Maple Rd
Ste 214
Lexington Park, MD 20653
Phone (240) 237-8268

173 Saint Patricks Dr
Ste 201
Waldorf, MD 20603
Phone (301) 396-3401

Organizations & group practices 2

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1467937854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PEACEFUL LN",
            "city": "LINDEN",
            "state": "VA",
            "postal_code": "226425144",
            "telephone_number": "571-428-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN RD # 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924722",
            "telephone_number": "571-402-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.