Individual provider Active NPI

Claudia T Perkins, FNP, ACNP

  • Acute Care Nurse Practitioner
  • Danville, VA
National Provider Identifier
1811905615
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024077838 Issued in VA
Practice address
501 Rison St
Suite 120
Danville, VA 24541-2425
Phone
(434) 792-3730
Fax
(434) 792-6048
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024077838 VA Primary
Family Nurse Practitioner 363LF0000X 0017000878 VA

Addresses

Primary practice location

501 Rison St
Suite 120
Danville, VA 24541-2425

Mailing address

PO Box 10399
Danville, VA 24543-5007
Phone (434) 792-3730

Other identifiers 2

IdentifierTypeStateIssuer
10011479NOtherVASENTARA
010395763MedicaidVA

Other names 1

  • Claudia P. Fulton Former name

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
I20061120000612 VA Practitioner - Nurse Practitioner 4082612346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024077838VAMDAcute Care Nurse Practitioner
0017000878VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Jan 21, 2020 Accepting new patients
Sandy River Family Care Inc CurrentSince Mar 25, 2013 Accepting new patients
Memorial Family Care Past Accepting new patients
Halifaxmed, PLC Past Accepting new patients
Central Piedmont Health Services, Inc PastSince Mar 25, 2013 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients
Southern Gastroenterology Endoscopy Center, P.C. PastSince Apr 9, 2023 Accepting new patients

Locations

4520 Medical Center Rd
Axton, VA 24054
Phone (434) 685-7095

309 S Main St
Danville, VA 24541

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1811905615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10399",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245435007",
            "telephone_number": "434-792-3730",
            "fax_number": "434-797-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RISON ST",
            "address_2": "SUITE 120",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412425",
            "telephone_number": "434-792-3730",
            "fax_number": "434-792-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "CLAUDIA",
        "middle_name": "T",
        "credential": "FNP, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024077838",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017000878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "10011479N",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010395763",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "FULTON",
            "middle_name": "P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.