Individual provider Active NPI

Sena Amegbletor

  • Registered Nurse
  • Norfolk, VA
National Provider Identifier
1043085491
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001314472 Issued in VA
Practice address
3014 Dunkirk Ave
Norfolk, VA 23509-1816
Phone
(203) 676-0079
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0001314472VAMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001314472 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

3014 Dunkirk Ave
Norfolk, VA 23509-1816

Mailing address

3014 Dunkirk Ave
Norfolk, VA 23509-1816

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2023.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1043085491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 DUNKIRK AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 DUNKIRK AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091816",
            "telephone_number": "203-676-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEGBLETOR",
        "first_name": "SENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001314472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.