NPIMap

Individual provider Active NPI

Colette Brooks, NP

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1083362396
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010517 Issued in DE
Practice address
236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone
(757) 853-1380
Fax
(855) 252-4450
NPI assigned
Mar 15, 2022
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 LP-0010517 DE Primary

Addresses

Primary practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (757) 853-1380

Other practice location 1

774 Christiana Rd Ste 109
Newark, DE 19713-4248
Phone (302) 444-8156

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
I20250130002530 VA Practitioner - Nurse Practitioner 4789845272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Williamsburg, VA 23185
Phone (757) 941-5600

Virginia Beach, VA 23462
Phone (757) 853-1380

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010517DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 1, 2025 Accepting new patients
Vpa PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

6225 Brandon Ave
Ste 365
Springfield, VA 22150
Phone (571) 642-3433

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: colette.brooks.1@32913.direct.athenahealth.com

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1083362396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "757-853-1380",
            "fax_number": "855-252-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-853-1380",
            "fax_number": "855-252-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Christiana Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134248",
            "country_code": "US",
            "telephone_number": "302-444-8156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "COLETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.