Individual provider Active NPI

Edythe A Boitnott, NP

  • Family Nurse Practitioner
  • Danville, VA
National Provider Identifier
1780718973
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165823 Issued in VA
Practice address
129 Broad St
Suite B
Danville, VA 24541-2301
Phone
(434) 791-2600
Fax
(434) 792-5347
NPI assigned
Mar 16, 2007
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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 0024165823 VA Primary

Addresses

Primary practice location

129 Broad St
Suite B
Danville, VA 24541-2301

Mailing address

129 Broad St
Suite B
Danville, VA 24541-2301
Phone (434) 791-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080708000371 VA Practitioner - Nurse Practitioner 6002988060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsville Urgent Care LLCGroup PAC ID 9436254133, 6 clinicians
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

1044 E Church St
Martinsville, VA 24112-3232
Phone (276) 634-0010

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024165823VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Neurology Associates, Inc. CurrentSince Sep 20, 2009 Accepting new patients
Holistic Health and Healing Inc Current Accepting new patients
Martinsville Primary Care LLC CurrentSince Jul 29, 2020 Accepting new patients
Ponca City Immediate Care, LLC Current Accepting new patients
Southside Neurosurgical Associates Past Accepting new patients

Locations

129 Broad St
Ste B
Danville, VA 24541
Phone (434) 791-2600

1044 E Church St
Martinsville, VA 24112
Phone (276) 634-0010

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1780718973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 BROAD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BROAD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412301",
            "telephone_number": "434-791-2600",
            "fax_number": "434-792-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOITNOTT",
        "first_name": "EDYTHE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.