Individual provider Active NPI

Susan Beth Anthony, FNP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1225002959
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001079488 Issued in VA
Practice address
860 Omni Blvd
Suite 101
Newport News, VA 23606-4434
Phone
(757) 240-2700
Fax
(757) 240-2701
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 0001079488 VA Primary

Addresses

Primary practice location

860 Omni Blvd
Suite 101
Newport News, VA 23606-4434

Mailing address

860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8769

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address susan.anthony.p1@direct.tpmg.nextgenshare.com Direct
Direct Messaging Address susan.anthony.p1@direct.tpmg.nextgenshare.com Direct

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
I20110118000304 VA Practitioner - Nurse Practitioner 9335292333 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001079488VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 28, 2019 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Jun 28, 2019 Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

12655 Warwick Blvd
#A
Newport News, VA 23606
Phone (757) 595-9880

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

11835 Fishing Point Dr
Ste 202
Newport News, VA 23606
Phone (757) 243-1033

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

307 Cook Rd
Yorktown, VA 23690
Phone (757) 898-7261

222 Grafton Dr
Yorktown, VA 23692
Phone (757) 898-7737

Interoperability endpoints

  • Direct secure messaging: susan.anthony.p1@direct.tpmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1225002959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "SUITE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-240-2700",
            "fax_number": "757-240-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001079488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.anthony.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXTGEN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NETWORK",
            "address_1": "12655 Warwick Blvd Ste A",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236062501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.anthony.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXTGEN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12655 Warwick Blvd Ste A",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236062501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.