Individual provider Active NPI

Crystal Kerby, DNP, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1104559087
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184643 Issued in VA
Practice address
1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856
Phone
(757) 916-3187
Fax
(757) 916-3188
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 0024184643 VA Primary

Addresses

Primary practice location

1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856

Mailing address

1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856
Phone (757) 916-3187

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
I20221229002616 VA Practitioner - Nurse Practitioner 1759751183 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Healthy Me, LLC CurrentSince Apr 14, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 20, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

3235 Academy Ave
Ste 300
Portsmouth, VA 23703
Phone (757) 483-3560

1920 Centerville Tpke
Virginia Beach, VA 23464
Phone (804) 426-6323

1920 Centerville Tpke
Ste 113
Virginia Beach, VA 23464
Phone (757) 916-3187

1120 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 481-2333

Interoperability endpoints

  • Direct secure messaging: crystal.kerby.1@29379.direct.athenahealth.com

Organizations & group practices 3

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1104559087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE STE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646856",
            "telephone_number": "757-916-3187",
            "fax_number": "757-916-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CENTERVILLE TPKE STE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646856",
            "telephone_number": "757-916-3187",
            "fax_number": "757-916-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "CRYSTAL",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.