Carol Fortune, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024058939 Issued in VA

Practice address

103 Valley Center Dr
Staunton, VA 24401-5080

Phone

(540) 332-8200

Fax

(540) 332-8197

NPI assigned

Apr 28, 2006

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1780641944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 VALLEY CENTER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015080",
            "telephone_number": "540-332-8200",
            "fax_number": "540-332-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 VALLEY CENTER DR",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244015080",
            "telephone_number": "540-332-8200",
            "fax_number": "540-332-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024058939",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001058939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Lynn Fink
• Elizabeth Ashley Firth, DPT
• Melissa S Fleming
• Brooks Anthony Floyd
• Regina Anjanette Ford
• Amanda Dawn Fox, FNP
• William Fox, M.D.
• Amanda Francis, LPC
• Danielle Frank, LPC
• Franklynn of Virginia Inc (The Staunton Pharmacy)

• Adult Health Nurse Practitioner in Staunton, VA
• Providers in Staunton, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.