NPIMap

Individual provider Active NPI

Debra L Levin

  • Nurse Practitioner
  • Heathsville, VA
National Provider Identifier
1063969236
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173881 Issued in VA
Practice address
8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone
(804) 580-7200
Fax
(804) 580-7063
NPI assigned
Sep 6, 2016
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024173881 VA Primary

Addresses

Primary practice location

8152 Northumberland Hwy
Heathsville, VA 22473-3309

Mailing address

8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone (804) 580-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001231 VA Practitioner - Nurse Practitioner 7012295744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Hospital LLCGroup PAC ID 8921060427, 14 clinicians

Practice addresses (Care Compare)

402 N Main St
Kilmarnock, VA 22482-3825
Phone (804) 435-2651

8152 Northumberland Hwy
Heathsville, VA 22473-3309
Phone (804) 580-7200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince May 12, 2019 Accepting new patients
Chesapeake Hospital LLC CurrentSince Dec 22, 2021 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince May 12, 2019 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Chesapeake Hospital Corporation Past Accepting new patients

Locations

8152 Northumberland Hwy
Heathsville, VA 22473
Phone (804) 580-7200

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1063969236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 NORTHUMBERLAND HWY",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224733309",
            "telephone_number": "804-580-7200",
            "fax_number": "804-580-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8152 NORTHUMBERLAND HWY",
            "city": "HEATHSVILLE",
            "state": "VA",
            "postal_code": "224733309",
            "telephone_number": "804-580-7200",
            "fax_number": "804-580-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heathsville, VA

Sources for this page

Verify at the official NPI Registry.