Vicky Byrne Generelly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024097495 Issued in VA

Practice address

5766 Thomas Jefferson Pkwy
Palmyra, VA 22963-4383

Phone

(434) 591-1314

Fax

(434) 591-1317

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Fluvanna Family Medicine PC

  • Family Medicine Physician
  • Palmyra, VA
  • NPI 1922169333
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821159211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5766 THOMAS JEFFERSON PKWY",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229634383",
            "telephone_number": "434-591-1314",
            "fax_number": "434-591-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5766 THOMAS JEFFERSON PKWY",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229634383",
            "telephone_number": "434-591-1314",
            "fax_number": "434-591-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERELLY",
        "first_name": "VICKY",
        "middle_name": "BYRNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024097495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter M Freag, DDS
• Brinley Freeman
• Amber Fusco
• Shannon Kathleen Garrett-Redmond, LCSW
• Peter Roger Generelly, MD
• Doreen Gullo, LCSW
• Rebekah K Guthrie, RPH
• Martha Hardwick, SLP
• Kaitlyn Harlow-Burner, LCSW
• Jessica Lynn Harlow-Wood, NP

• All providers in Palmyra, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.