Teresa Abiola Adenaike
Individual provider Active NPI Pediatric Nurse Practitioner · Newport News, VA
NPI 1235014606 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1235014606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 0024194114 (VA)
- Practice address
- 11783 Rock Landing Dr
Newport News, VA 23606-4431 - Phone
- (757) 668-7473
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 Gresham
Norfolk, VA 23507-1901
811 Redgate Ave
Norfolk, VA 23507-1515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420002145 | VA | Practitioner - Nurse Practitioner | 7911473665 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024194114 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Group PLLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024194114 | VA | Yes |
Addresses
Primary practice location
11783 Rock Landing Dr
Newport News, VA 23606-4431
Mailing address
601 Childrens LN
Norfolk, VA 23507-1910
Phone (757) 668-7007
Other providers in Newport News, VA
- Kimberly Anne Adams
- Lori N Adams
- Rachael Piper Adams
- Drew Adamson
- Jasmin Adamson
- Taiwo Adeogun
- Brandy Adkins
- Colby Charles Adkins
- Elizabeth Adkins
- Michael G Adugna
All providers in Newport News, VA · Pediatric Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.