Active NPI
Elizabeth Daidone
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Palmyra, VA
National Provider Identifier
1871947564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 0126003104
- Practice address
- 72 Bolling Cir
Palmyra, VA 22963-3247 - Phone
- (434) 987-0026
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | A61212848 | VA | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 0126003104 | VA | Primary |
Addresses
Primary practice location
72 Bolling Cir
Palmyra, VA 22963-3247
Mailing address
72 Bolling Cir
Palmyra, VA 22963-3247
Phone (434) 987-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126003104 | VA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| A61212848 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1871947564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 BOLLING CIR",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229633247",
"telephone_number": "434-987-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 BOLLING CIR",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229633247",
"telephone_number": "434-987-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIDONE",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "A61212848",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "VA",
"license": "0126003104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmyra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.