NPIMap

Individual provider Active NPI

Dalana Dawn Lane, NP

  • Nurse Practitioner
  • Independence, VA
National Provider Identifier
1487284840
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178742 Issued in VA
Practice address
217 S Independence Ave
Independence, VA 24348-2802
Phone
(276) 773-2063
Fax
(855) 407-5619
NPI assigned
Jan 23, 2020
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5015310 NC
Nurse Practitioner 363L00000X 0024178742 VA Primary
Family Nurse Practitioner 363LF0000X GAA-NP000892 GA
Family Nurse Practitioner 363LF0000X 5015310 NC

Addresses

Primary practice location

217 S Independence Ave
Independence, VA 24348-2802

Mailing address

217 S Independence Ave
Independence, VA 24348-2802
Phone (276) 773-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, GA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200415001681 VA Practitioner - Nurse Practitioner 2163852195 Reassigns benefits to 4 organizations
I20211119001136 NC Practitioner - Nurse Practitioner 2163852195 Reassigns benefits to 2 organizations
I20220901003645 GA Practitioner - Nurse Practitioner 2163852195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1839 Onslow Dr
Jacksonville, NC 28540-5906
Phone (248) 660-1220

217 S Independence Ave
Independence, VA 24348-2802
Phone (276) 773-2063

249 S Newtown Rd
Norfolk, VA 23502-5718
Phone (248) 660-1220

961 E Stuart Dr
Galax, VA 24333-2407
Phone (276) 238-0439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP000892GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Jan 1, 2025 Accepting new patients
SC House Calls Inc CurrentSince Aug 22, 2022 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Dec 8, 2025 Accepting new patients
SC House Calls Inc CurrentSince Aug 22, 2022 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 25, 2024 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Jan 1, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Kingsford Physician Services, LLC Nurse Practitioner CurrentSince Aug 23, 2021 Accepting new patients
DLP Twin County Physician Practices LLC Nurse Practitioner Current Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients
DLP Twin County Physician Practices LLC Past Accepting new patients

Locations

1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242

624 Ellis St
Augusta, GA 30901

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

217 S Independence Ave
Independence, VA 24348
Phone (276) 773-2063

249 S Newtown Rd
Norfolk, VA 23502
Phone (757) 427-4700

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1806 Summit Ave
Richmond, VA 23230
Phone (804) 352-2487

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

Interoperability endpoints

  • Direct secure messaging: dalana.lane.1@10112.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1487284840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S INDEPENDENCE AVE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243482802",
            "telephone_number": "276-773-2063",
            "fax_number": "855-407-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S INDEPENDENCE AVE",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243482802",
            "telephone_number": "276-773-2063",
            "fax_number": "855-407-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DALANA",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178742",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000892",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

Verify at the official NPI Registry.