Active NPI
Marie B Nave, P.A.
- Physician Assistant
- Hampton, VA
National Provider Identifier
1164770087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003991
- Practice address
- 3000 Coliseum Dr
Ste. 200
Hampton, VA 23666-5963 - Phone
- (757) 736-7280
- Fax
- (757) 224-3541
- NPI assigned
- Aug 27, 2012
- Last updated
- Sep 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003991 | VA | Primary |
| Registered Nurse | 163W00000X | 0001181285 | VA |
Addresses
Primary practice location
3000 Coliseum Dr
Ste. 200
Hampton, VA 23666-5963
Mailing address
3000 Coliseum Dr
Ste. 200
Hampton, VA 23666-5963
Phone (757) 736-7280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02033 | Other | VA | MEDICARE GROUP NUMBER |
Other names 1
- Marie Bersamin
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001181285 | VA | MD | Registered Nurse |
| 0110003991 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Past | Accepting new patients | |
| Sentara Medical Group | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sentara Surgery Specialists
- Surgery Physician
- Williamsburg, VA
- NPI 1881800274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1164770087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 COLISEUM DR",
"address_2": "STE. 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665963",
"telephone_number": "757-736-7280",
"fax_number": "757-224-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLISEUM DR",
"address_2": "STE. 200",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665963",
"telephone_number": "757-736-7280",
"fax_number": "757-224-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVE",
"first_name": "MARIE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003991",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001181285",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C02033",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "BERSAMIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampton, VA
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- Natural Wellbeing Acupuncture (Amazing Acupuncture)
- Dan Naumann, MD
- Lena Nazarek, DC
- Vicki Miller Neace, PHARMD
- Randall Howard Neal, MD
- Valerie Hill Neal, N.P.
- Shemeka Lashawn Needam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.