Individual provider Active NPI

Dinah P Perdue, FNP

  • Family Nurse Practitioner
  • Laurel Fork, VA
National Provider Identifier
1497198196
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170705 Issued in VA
Practice address
14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone
(276) 398-2292
Fax
(276) 398-3331
NPI assigned
Apr 11, 2013
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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 0024170705 VA Primary

Addresses

Primary practice location

14558 Danville Pike
Laurel Fork, VA 24352-3982

Mailing address

PO Box 9
Laurel Fork, VA 24352-0009
Phone (276) 398-2922

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wedonotusethis

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000502 VA Practitioner - Nurse Practitioner 8628217601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Area Community HealthGroup PAC ID 6204748296, 36 clinicians

Practice addresses (Care Compare)

14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone (276) 398-2292

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Area Community Health CurrentSince Apr 23, 2013 Accepting new patients
Tri Area Community Health CurrentSince Apr 23, 2013 Accepting new patients
Tri Area Community Health Past Accepting new patients

Locations

14558 Danville Pike
Laurel Fork, VA 24352
Phone (276) 398-1200

14558 Danville Pike
#9
Laurel Fork, VA 24352
Phone (540) 398-2292

Interoperability endpoints

  • Direct secure messaging: dinah.perdue@tachc.eclinicaldirectplus.com

Organizations & group practices 3

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 7

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1497198196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243520009",
            "telephone_number": "276-398-2922",
            "fax_number": "276-398-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14558 DANVILLE PIKE",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523982",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DINAH",
        "middle_name": "P",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wedonotusethis",
            "affiliation": "N",
            "address_1": "14558 Danville Pike",
            "city": "Laurel Fork",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243523982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel Fork, VA

Sources for this page

Verify at the official NPI Registry.