Individual provider Active NPI

Elizabeth Buchanan, FNP-BC

  • Family Nurse Practitioner
  • Victoria, VA
National Provider Identifier
1932592987
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172455 Issued in VA
Practice address
1508 K V Rd
Victoria, VA 23974-2624
Phone
(434) 696-2165
NPI assigned
Mar 16, 2015
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172455 VA Primary

Addresses

Primary practice location

1508 K V Rd
Victoria, VA 23974-2624

Mailing address

1508 K V Rd
PO Box 70
Victoria, VA 23974-2624
Phone (434) 696-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150529000409 VA Practitioner - Nurse Practitioner 5294055448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1508 K V Rd
Victoria, VA 23974-2624
Phone (434) 696-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024172455VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Sep 18, 2019 Accepting new patients
Southern Dominion Health System, Inc. Current Accepting new patients
CMH Physician Services, LLC CurrentSince Sep 18, 2019 Accepting new patients
Southern Dominion Health System, Inc. Current Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Mar 30, 2015 Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Mar 30, 2015 Accepting new patients

Locations

8920 Otterburn Rd
Amelia Ct Hse, VA 23002
Phone (804) 288-8838

13855 Courthouse Rd
Dinwiddie, VA 23841
Phone (804) 469-3731

510 N Main St
Emporia, VA 23847
Phone (434) 634-7723

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1508 K V Rd
Victoria, VA 23974
Phone (434) 696-2165

Interoperability endpoints

  • Direct secure messaging: elizabeth.buchanan@sdhs.directbygreenway.com

Organizations & group practices 6

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": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1932592987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 K V RD",
            "address_2": "PO BOX 70",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239742624",
            "telephone_number": "434-696-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 K V RD",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239742624",
            "telephone_number": "434-696-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, VA

Sources for this page

Verify at the official NPI Registry.