Active NPI
Christina Lynn Fotopoulos
- Specialist
- Norfolk, VA
National Provider Identifier
1114159324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 174400000X
- Practice address
- 241 Winshire St
Norfolk, VA 23503-4931 - Phone
- (757) 871-5978
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 174400000X | VA | Primary |
Addresses
Primary practice location
241 Winshire St
Norfolk, VA 23503-4931
Mailing address
592 Windsor Gate Rd
Virginia Beach, VA 23452-2929
Phone (757) 463-0099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1114159324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 WINDSOR GATE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234522929",
"telephone_number": "757-463-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 WINSHIRE ST",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235034931",
"telephone_number": "757-871-5978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOTOPOULOS",
"first_name": "CHRISTINA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "174400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.