Organization Active NPI

Dustin Powers Practitioners LLC

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1568219863
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DUSTIN POWERS PRACTITIONERS LLC
Practice address
2081 Langhorne Rd
Lynchburg, VA 24501-1443
Phone
(434) 846-8437
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dustin Scott Powers, FNP-CNPI 1316581366
Title
Nurse Practitioner
Phone
(540) 204-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2081 Langhorne Rd
Lynchburg, VA 24501-1443

Mailing address

6110 Wisteria Place CT
Roanoke, VA 24012-8830
Phone (540) 204-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240913001642 VA Part B Supplier - Clinic/Group Practice 7911447131 Receives reassigned benefits from 1 practitioner
Practice locations: Daleville, VA; Roanoke, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1568219863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 WISTERIA PLACE CT",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128830",
            "telephone_number": "540-204-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011443",
            "telephone_number": "434-846-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN POWERS PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "540-204-3030",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.