Active NPI
Kiriaki Anthis, ACNPC-AG
- Acute Care Nurse Practitioner
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024174763
- Practice address
- 1080 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2406 - Phone
- (757) 395-6070
- Fax
- (757) 395-6381
- NPI assigned
- May 11, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024174763 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024174763 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024174763 | VA | Primary |
Addresses
Primary practice location
1080 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2406
Mailing address
1080 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2406
Phone (757) 395-6070
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1080 1St Colonial Rd
200A
Virginia Beach, VA 23454-2406
Phone (757) 395-6070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174763 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SE Virginia Value Based Care, LLC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Mid-Atlantic Post Acute & Long Term Care PLLC | Adult Health | Current | Accepting new patients |
| Sentara Medical Group | Past | Accepting new patients |
Locations
6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2075 Glenn Mitchell Dr
Ste 512
Virginia Beach, VA 23456
Phone (757) 507-8850
1080 First Colonial Rd
Ste 200A
Virginia Beach, VA 23454
Phone (757) 395-6070
1080 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 395-6070
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
Adult Health
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
- Surgery Physician
- Virginia Beach, VA
- NPI 1851506323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1144756909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 FIRST COLONIAL RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542406",
"telephone_number": "757-395-6070",
"fax_number": "757-395-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 FIRST COLONIAL RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542406",
"telephone_number": "757-395-6070",
"fax_number": "757-395-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHIS",
"first_name": "KIRIAKI",
"credential": "ACNPC-AG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024174763",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024174763",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024174763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.