Individual provider Active NPI

Anne L Stubbs, NP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1205177003
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170689 Issued in VA
Practice address
596 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7371
Phone
(757) 802-4500
Fax
(757) 226-9002
NPI assigned
Mar 5, 2013
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024170689 VA Primary

Addresses

Primary practice location

596 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7371

Mailing address

596 Lynnhaven Pkwy Ste 100
Virginia Beach, VA 23452-7371
Phone (757) 802-4500

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
I20130709000167 VA Practitioner - Nurse Practitioner 6103066527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1024 1St Colonial Rd
Virginia Beach, VA 23454-3074
Phone (757) 395-2500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jun 5, 2013 Accepting new patients
Ocean Psychiatric Group PC Family CurrentSince Jul 17, 2014 Accepting new patients
Sentara Medical Group Family Past Accepting new patients

Locations

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

1024 First Colonial Rd
Ste 102
Virginia Beach, VA 23454
Phone (757) 321-4030

1024 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2500

596 Lynnhaven Pkwy
Ste 100
Virginia Beach, VA 23452
Phone (757) 802-4500

1024 First Colonial Rd
Ste 104
Virginia Beach, VA 23454

Interoperability endpoints

  • Direct secure messaging: astubbs3963@direct.sentara.net
  • FHIR API: https://api.platform.athenahealth.com/6887/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 7

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1205177003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 LYNNHAVEN PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527371",
            "telephone_number": "757-802-4500",
            "fax_number": "757-226-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 LYNNHAVEN PKWY STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527371",
            "telephone_number": "757-802-4500",
            "fax_number": "757-226-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "ANNE",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.