Janet Holt Durham, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Nathalie, VA
NPI 1780104489 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1780104489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024174889 (VA)
- Practice address
- 15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304 - Phone
- (434) 349-3113
- Fax
- (434) 349-2172
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Halifax Regional Hospital Inc
Practice addresses (Care Compare)
115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone (434) 349-3113
Hospital & facility affiliations
- 1St Care Home Health South Boston
- Sentara Home Care Services (Halifax)
- Sentara Halifax Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171020002107 | VA | Practitioner - Nurse Practitioner | 1052687985 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Regional Hospital, Inc | Current |
Accepting new patients | |
| Halifax Regional Hospital, Inc. | Current |
Accepting new patients | |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Ezephysical Therapy LLC | Current |
Accepting new patients | |
| Dominion Health Medical Assoc | Current |
Accepting new patients | |
| Dominion Health Medical Assoc | Current |
Accepting new patients | |
| Velocity Urgent Care, LLC | Current |
Accepting new patients |
Locations
946 N Main St
Chase City, VA 23924
Phone (434) 372-5141
503 N Main St
Chase City, VA 23924
Phone (434) 533-3367
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577
Phone (434) 349-3113
1100 Confroy Dr
Ste 3
South Boston, VA 24592
Phone (434) 917-8046
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
2232 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3539
2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100
4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124
Interoperability endpoints
- jdurham524312@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024174889 | VA | Yes |
Addresses
Primary practice location
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Mailing address
15210 L P Bailey Memorial Hwy
Nathalie, VA 24577-3304
Phone (434) 349-3113
Other providers in Nathalie, VA
- Paul S Buckman
- Briana Velez Campbell
- Catalyst Systems and Care, LLC
- Berkley Anne Conner
- Gaynell Dejarnette
- Family Preservation Services, Inc
- Edward Curtis Garrett III
- Regina Garrett
- Valerie Jo Garrett
- Halifax Regional Hospital, Inc
All providers in Nathalie, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.