Active NPI
Cecelia D Rountree
- Medical Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1174798151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110002603
- Practice address
- 1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856 - Phone
- (757) 916-3187
- Fax
- (757) 916-3188
- NPI assigned
- Apr 29, 2008
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110002603 | VA | Primary |
Addresses
Primary practice location
1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856
Mailing address
1920 Centerville Tpke Ste 113
Virginia Beach, VA 23464-6856
Phone (757) 916-3187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1174798151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 CENTERVILLE TPKE STE 113",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646856",
"telephone_number": "757-916-3187",
"fax_number": "757-916-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 CENTERVILLE TPKE STE 113",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234646856",
"telephone_number": "757-916-3187",
"fax_number": "757-916-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNTREE",
"first_name": "CECELIA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110002603",
"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 Jul 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.