Individual provider Active NPI

Shadesia Nicholson, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1043967284
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024183858 Issued in VA
Practice address
1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Phone
(757) 425-1600
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 0024183858 VA Primary

Addresses

Primary practice location

1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437

Mailing address

1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Phone (757) 425-1600

Other names 1

  • Shadesia Christopher Former name

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
I20220624002329 VA Practitioner - Nurse Practitioner 2365821162 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians
The Virginia League for Planned ParenthoodGroup PAC ID 5597020768, 16 clinicians

Practice addresses (Care Compare)

1181 1St Colonial Rd
Suite 101
Virginia Beach, VA 23454-2437
Phone (757) 228-1600

515 Newtown Rd
Virginia Beach, VA 23462-5620
Phone (757) 499-7526

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024183858VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
The Virginia League for Planned Parenthood Family CurrentSince Jul 16, 2024 Accepting new patients
Khadijah Y. Jordan, MD.,PC PastSince Oct 1, 2022 Accepting new patients

Locations

403 Yale Dr
Hampton, VA 23666
Phone (757) 826-2079

201 N Hamilton St
Richmond, VA 23221
Phone (804) 355-4358

515 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 309-4827

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

Interoperability endpoints

  • Direct secure messaging: shadesia.nicholson@va011.digichart.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1043967284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SHADESIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHADESIA",
            "last_name": "CHRISTOPHER",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.