Individual provider Active NPI

Anne Lynn White, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1043714850
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175921 Issued in VA
Practice address
1100 Volvo Pkwy Ste 100
Chesapeake, VA 23320-3341
Phone
(757) 389-5370
NPI assigned
Mar 19, 2018
Reactivated
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 0024175921 VA Primary

Addresses

Primary practice location

1100 Volvo Pkwy Ste 100
Chesapeake, VA 23320-3341

Mailing address

860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180910001496 DC Practitioner - Nurse Practitioner 1951651132 Reassigns benefits to 1 organization
I20181126000736 VA Practitioner - Nurse Practitioner 1951651132 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024175921VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Atlantic Long Term Specialty Care LLC CurrentSince Oct 21, 2022 Accepting new patients
Hampton Roads Orthopaedic & Sports Medicine LLC CurrentSince Apr 1, 2022 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Oct 21, 2022 Accepting new patients
Hampton Roads Orthopaedic & Sports Medicine LLC CurrentSince Apr 1, 2022 Accepting new patients
Consonant Healing Medical Associates CurrentSince Feb 17, 2021 Accepting new patients
Healogics Specialty Physicians of Virginia, LLC CurrentSince Nov 5, 2018 Accepting new patients
Arc of Life Medical Center LLC PastSince Apr 15, 2024 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

730 Thimble Shoals Blvd
Ste 110B
Newport News, VA 23606
Phone (757) 873-1554

730 Thimble Shoals Blvd
Ste 130
Newport News, VA 23606
Phone (757) 327-0103

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

4030 George Washington Mem Hwy
Ste B
Yorktown, VA 23692
Phone (757) 898-5500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1043714850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VOLVO PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203341",
            "telephone_number": "757-389-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANNE",
        "middle_name": "LYNN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-09-12",
        "deactivation_date": "2018-05-15",
        "reactivation_date": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.