Individual provider Active NPI

Joanna Marie Dymora, DNP, FNP-BC

  • Family Nurse Practitioner
  • Marion, NC
National Provider Identifier
1861053001
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011956 Issued in NC
Practice address
2293 S. Sterling Street
Suite D
Marion, NC 28752-7787
Phone
(828) 652-8727
Fax
(828) 652-8793
NPI assigned
Jun 27, 2019
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011956 NC Primary
Administrator Registered Nurse 163WA2000X 261436 NC

Addresses

Primary practice location

2293 S. Sterling Street
Suite D
Marion, NC 28752-7787

Mailing address

PO Box 806
Rutherford College, NC 28671-0806
Phone (828) 874-1316

Other practice location 1

730 Malcolm Blvd Ste 150
Connelly Springs, NC 28612-8079
Phone (828) 874-4600

Other practice location 2

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191009002337 NC Practitioner - Nurse Practitioner 9931430766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdese Family Practice PAGroup PAC ID 4284685843, 3 clinicians

Practice addresses (Care Compare)

99 Griffin St
Rutherford College, NC 28671-0806
Phone (828) 874-1316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261436NCMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valdese Family Practice, PA Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1861053001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710806",
            "telephone_number": "828-874-1316",
            "fax_number": "828-874-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 S. STERLING STREET",
            "address_2": "SUITE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malcolm Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Connelly Springs",
            "state": "NC",
            "postal_code": "286128079",
            "country_code": "US",
            "telephone_number": "828-874-4600",
            "fax_number": "828-874-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYMORA",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011956",
            "primary": true
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "261436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.