Individual provider Active NPI

Jennifer Leigh Dryer, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1134293376
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166877 Issued in VA
Practice address
1101 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2409
Phone
(757) 395-1760
Fax
(757) 756-5418
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024166877 VA
Family Nurse Practitioner 363LF0000X 0024166877 VA Primary

Addresses

Primary practice location

1101 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2409

Mailing address

1101 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2409
Phone (757) 395-1760

Other practice location 1

612 Kingsborough Sq
Suite 100
Chesapeake, VA 23320-5041
Phone (757) 547-9294

Other practice location 2

1708 Old Donation Pkwy
Virginia Beach, VA 23454-3064
Phone (757) 395-1760

Other identifiers 4

IdentifierTypeStateIssuer
0001171704OtherVARN LICENSE
10017919NOtherVAOPTIMA/SENTARA
1134293376MedicaidVA
0024166877OtherVANP LICENSE

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
I20070316000192 VA Practitioner - Nurse Practitioner 1951404672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1101 1St Colonial Rd
Suite 300
Virginia Beach, VA 23454-2409
Phone (757) 388-6005

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Jan 1, 2015 Accepting new patients
Bayview Physician Services, PC CurrentSince Jan 1, 2015 Accepting new patients
Sentara Medical Group CurrentSince Apr 1, 2020 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294

400 W Brambleton Ave
Ste 201
Norfolk, VA 23510
Phone (757) 623-3800

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1101 First Colonial Rd
Ste 300
Virginia Beach, VA 23454
Phone (757) 395-1760

1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300

Interoperability endpoints

  • Direct secure messaging: jdryer15435@direct.sentara.net

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.

Hospital & facility affiliations 5

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1134293376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-395-1760",
            "fax_number": "757-756-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FIRST COLONIAL RD STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542409",
            "telephone_number": "757-395-1760",
            "fax_number": "757-756-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Kingsborough Sq",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205041",
            "country_code": "US",
            "telephone_number": "757-547-9294",
            "fax_number": "757-548-0092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543064",
            "country_code": "US",
            "telephone_number": "757-395-1760",
            "fax_number": "757-756-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRYER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024166877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "0001171704",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "10017919N",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134293376",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "0024166877",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.