Active NPI
Davina Ann Gillespie, FNP
- Family Nurse Practitioner
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024182802
- Practice address
- 901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250 - Phone
- (757) 827-2480
- Fax
- (757) 827-2566
- NPI assigned
- Sep 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024182802 | VA | Primary |
Addresses
Primary practice location
901 Enterprise Pkwy Ste 900
Hampton, VA 23666-6250
Mailing address
125 Edmond Dr
Newport News, VA 23606-2619
Phone (302) 685-3628
Other names 1
- Davina Ann Kachnovitz
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 |
|---|---|---|---|---|
| I20211117001039 | VA | Practitioner - Nurse Practitioner | 3476942277 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
- Sentara Careplex Hospital
- Riverside Regional Medical Center
- Sentara Obici Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 91.92
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 90.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024182802 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Orthopaedic Associates Inc | Current | Accepting new patients | |
| Tidewater Orthopaedic Associates Inc | Current | Accepting new patients |
Locations
901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480
7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784
4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004
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 and National Provider Directory roles.
-
- Specialist
- Suffolk, VA
- NPI 1629629340
Hospital & facility affiliations 4
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": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1104597228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 EDMOND DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062619",
"telephone_number": "302-685-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ENTERPRISE PKWY STE 900",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666250",
"telephone_number": "757-827-2480",
"fax_number": "757-827-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLESPIE",
"first_name": "DAVINA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-28",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024182802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVINA",
"last_name": "KACHNOVITZ",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.