Individual provider Active NPI

Dana Lynn Ey, APRN, FNP-BC

  • Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1548651250
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29855 Issued in SC
Practice address
218 Brighton Park Blvd Ste 101
Summerville, SC 29486-3013
Phone
(843) 264-7973
NPI assigned
Feb 17, 2015
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 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 AC003879 MD
Nurse Practitioner 363L00000X 29855 SC Primary
Family Nurse Practitioner 363LF0000X LG-0011709 DE
Registered Nurse 163W00000X L1-0045053 DE

Addresses

Primary practice location

218 Brighton Park Blvd Ste 101
Summerville, SC 29486-3013

Mailing address

119 Ashworth Dr
Summerville, SC 29486-0435
Phone (302) 604-0429

Other practice location 1

1515 Sherbrook Rd
Lutherville, MD 21093-5926
Phone (302) 604-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240506001226 DE Practitioner - Nurse Practitioner 0648610840 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0045053DEMDRegistered Nurse
AC003879MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connolly Dermatology Delaware LLC CurrentSince May 1, 2024 Accepting new patients

Locations

16337 Coastal Hwy
Lewes, DE 19958
Phone (302) 291-9900

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

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, 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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1548651250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 ASHWORTH DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294860435",
            "telephone_number": "302-604-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BRIGHTON PARK BLVD STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294863013",
            "telephone_number": "843-264-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Sherbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210935926",
            "country_code": "US",
            "telephone_number": "302-604-0429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EY",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003879",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "29855",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011709",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0045053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.