Individual provider Active NPI

Debra F Chinnery, EDD, FNP, BC

  • Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1225127582
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024100415 Issued in VA
Practice address
2100 Executive Dr Ste B
Hampton, VA 23666-2402
Phone
(757) 826-1600
Fax
(757) 826-0160
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024100415 VA Primary

Addresses

Primary practice location

2100 Executive Dr Ste B
Hampton, VA 23666-2402

Mailing address

2100 Executive Dr Ste B
Hampton, VA 23666-2402
Phone (757) 826-1600

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
I20090331000198 VA Practitioner - Nurse Practitioner 6305903600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2100 Executive Dr
Suite B
Hampton, VA 23666-2402
Phone (757) 826-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Health Care, LLC CurrentSince Oct 30, 2012 Accepting new patients

Locations

2100 Executive Dr
#B
Hampton, VA 23666
Phone (757) 826-1600

410 Marcella Rd
#A
Hampton, VA 23666
Phone (757) 826-0514

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1225127582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EXECUTIVE DR STE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-826-1600",
            "fax_number": "757-826-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXECUTIVE DR STE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-826-1600",
            "fax_number": "757-826-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNERY",
        "first_name": "DEBRA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "EDD, FNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024100415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.