Individual provider Active NPI

Janet Enriquez, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1043916265
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186731 Issued in VA
Practice address
4360 Shore Dr Ste 101a
Virginia Beach, VA 23455-2994
Phone
(757) 251-0879
Fax
(984) 202-9437
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186731 VA Primary
Licensed Practical Nurse 164W00000X 0002068987 VA
Registered Nurse 163W00000X 000124986 VA

Addresses

Primary practice location

4360 Shore Dr Ste 101a
Virginia Beach, VA 23455-2994

Mailing address

904 Eastwind CT
Virginia Beach, VA 23464-3111

Other practice location 1

904 Eastwind Ct
Virginia Beach, VA 23464-3111
Phone (757) 515-6898

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
I20230915002810 VA Practitioner - Nurse Practitioner 5294199733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000124986VAMDRegistered Nurse
0002068987VAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 16, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince Jan 6, 2025 Accepting new patients

Locations

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

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

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

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

Organizations & group practices 2

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1043916265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 EASTWIND CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 SHORE DR STE 101A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552994",
            "telephone_number": "757-251-0879",
            "fax_number": "984-202-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Eastwind Ct",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234643111",
            "country_code": "US",
            "telephone_number": "757-515-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "JANET",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186731",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002068987",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "000124986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.