Individual provider Active NPI

Laura L Young Ligon, FNP

  • Nurse Practitioner
  • Danville, VA
National Provider Identifier
1831187095
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024145340 Issued in VA
Practice address
1040 Main St
Danville, VA 24541-1816
Phone
(434) 792-1433
Fax
(434) 797-2807
NPI assigned
Oct 12, 2005
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024145340 VA Primary

Addresses

Primary practice location

1040 Main St
Danville, VA 24541-1816

Mailing address

PO Box 1360
Danville, VA 24543-1360
Phone (434) 792-1433

Other identifiers 4

IdentifierTypeStateIssuer
1831187095MedicaidVA
7006203MedicaidNC
007610114MedicaidVA
1831187095OtherVAHEALTHNET FEDERAL SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041123000584 VA Practitioner - Nurse Practitioner 1153386768
I20150513002228 NC Practitioner - Nurse Practitioner 1153386768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024145340VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halifaxmed, PLC Past Accepting new patients
Patrick Henry Boys and Girls Plantation, Inc PastSince Sep 24, 2016 Accepting new patients
Charles H Parker Jr MD PC PastSince Mar 19, 1999 Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1831187095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245431360",
            "telephone_number": "434-792-1433",
            "fax_number": "434-797-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411816",
            "telephone_number": "434-792-1433",
            "fax_number": "434-797-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG LIGON",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024145340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831187095",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006203",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES",
            "identifier": "1831187095",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.