Active NPI
Tenika Trotter
- Psychiatric/Mental Health Nurse Practitioner
- Suffolk, VA
National Provider Identifier
1053781005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024192271
- Practice address
- 425 W Washington St Ste 4
Suffolk, VA 23434-5320 - Phone
- (757) 644-0208
- Fax
- (757) 974-8957
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 0001236457 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024192271 | VA | Primary |
Addresses
Primary practice location
425 W Washington St Ste 4
Suffolk, VA 23434-5320
Mailing address
425 W Washington St Ste 4
Suffolk, VA 23434-5320
Phone (757) 644-0208
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414000199 | VA | Practitioner - Nurse Practitioner | 5395269286 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
425 W Washington St
Suite 4
Suffolk, VA 23434-5320
Phone (757) 644-0208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001236457 | VA | MD | Home Health Registered Nurse |
| 0024192271 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity TMS & Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Suffolk, VA
- NPI 1730992736
Psychiatric/Mental Health, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1053781005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W WASHINGTON ST STE 4",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345320",
"telephone_number": "757-644-0208",
"fax_number": "757-974-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W WASHINGTON ST STE 4",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234345320",
"telephone_number": "757-644-0208",
"fax_number": "757-974-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTTER",
"first_name": "TENIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-02",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0001236457",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024192271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.