Active NPI
Lynn Valerie Davis, CFNP
- Family Medicine Physician
- Chester, VA
National Provider Identifier
1912931882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024123859
- Practice address
- 12901 Briggs Rd
Chester, VA 23831 - Phone
- (765) 494-6341
- Fax
- (765) 496-1022
- NPI assigned
- Jul 10, 2006
- Last updated
- Mar 8, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71002141A | IN | |
| Family Medicine Physician | 207Q00000X | 0024123859 | VA | Primary |
Addresses
Primary practice location
12901 Briggs Rd
Chester, VA 23831
Mailing address
12901 Briggs Road
Chester, VA 23831
Phone (804) 796-2373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200852830 | Medicaid | VA | |
| 200852830 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002141A | IN | MD | Family Medicine Physician |
| 0024123859 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Purdue University | Past | 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.
-
dba Family Health Clinic of Monon
- Federally Qualified Health Center (FQHC)
- Monon, IN
- NPI 1871794826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1912931882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12901 BRIGGS ROAD",
"city": "CHESTER",
"state": "VA",
"postal_code": "23831",
"telephone_number": "804-796-2373",
"fax_number": "804-748-9160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12901 BRIGGS RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "23831",
"telephone_number": "765-494-6341",
"fax_number": "765-496-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LYNN",
"middle_name": "VALERIE",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "71002141A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024123859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200852830",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200852830",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.