Individual provider Active NPI

Karen Reynolds Brayboy, MSN, CNM

  • Advanced Practice Midwife
  • Portsmouth, VA
National Provider Identifier
1184625030
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024090250 Issued in VA
Practice address
620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708-2197
Phone
(757) 953-4300
Fax
(757) 953-9887
NPI assigned
Aug 2, 2005
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024090250 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir Ste 275
Portsmouth, VA 23708-2197

Mailing address

2224 Dulwich PL
Virginia Beach, VA 23456-7758
Phone (757) 314-7236

Other practice location 1

1885 Terrier Ave
Ste 100
Virginia Beach, VA 23461-2298
Phone (757) 314-7236

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429000648 VA Practitioner - Certified Nurse Midwife (CNM) 5193964633 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Feb 4, 2025 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Feb 4, 2025 Accepting new patients
Obhg Virginia, LLC CurrentSince Sep 5, 2024 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1184625030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 DULWICH PL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567758",
            "telephone_number": "757-314-7236",
            "fax_number": "757-314-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR STE 275",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082197",
            "telephone_number": "757-953-4300",
            "fax_number": "757-953-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Terrier Ave",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234612298",
            "country_code": "US",
            "telephone_number": "757-314-7236",
            "fax_number": "757-314-7228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAYBOY",
        "first_name": "KAREN",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024090250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.