Individual provider Active NPI

Mary Elizabeth Wright, FNP

  • Family Nurse Practitioner
  • Damascus, VA
National Provider Identifier
1689643074
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024135977 Issued in VA
Practice address
20471 Azen Rd
Damascus, VA 24236-4141
Phone
(276) 388-3411
Fax
(276) 388-3732
NPI assigned
Mar 16, 2006
Last updated
Apr 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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 0024135977 VA Primary

Addresses

Primary practice location

20471 Azen Rd
Damascus, VA 24236-4141

Mailing address

602 W Morgan Ave
Suite 3
Pennington Gap, VA 24277-2036
Phone (276) 546-5310

Other names 1

  • Mary Elizabeth Wells Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024135977VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Physician Partners Past Accepting new patients
Muhammad R. Javed MD PC Past Accepting new patients
Tricare Behavorial Health, LLC Group Past Accepting new patients
Regional Health Resources Inc Past Accepting new patients

Organizations & group practices 4

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1689643074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W MORGAN AVE",
            "address_2": "SUITE 3",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242772036",
            "telephone_number": "276-546-5310",
            "fax_number": "276-546-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20471 AZEN RD",
            "city": "DAMASCUS",
            "state": "VA",
            "postal_code": "242364141",
            "telephone_number": "276-388-3411",
            "fax_number": "276-388-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024135977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WELLS",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Damascus, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.