Individual provider Active NPI

Chimere L Clark, DNP, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1245656958
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0017141498 Issued in VA
Practice address
2601 Colley Ave Ste 2a
Norfolk, VA 23517-1131
Phone
(757) 861-9812
Fax
(757) 861-9449
NPI assigned
Mar 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0017141498 VA Primary

Addresses

Primary practice location

2601 Colley Ave Ste 2a
Norfolk, VA 23517-1131

Mailing address

2601 Colley Ave Ste 2a
Norfolk, VA 23517-1131
Phone (757) 861-9814

Other practice location 1

811 Redgate Ave
Norfolk, VA 23507-1515
Phone (757) 668-4000

Other identifiers 8

IdentifierTypeStateIssuer
10129497NOtherVAOPTIMA HEALTH
PAROtherVACORVEL
PAROtherVAMULTIPLAN
-010OtherVATRICARE/CHAMPUS
1245656958OtherVAVIRGINIA PREMIER HEALTH PLAN
1245656958MedicaidVA
PAROtherVAUSA MANAGED CARE
1245656958MedicaidNC

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
I20140731002423 VA Practitioner - Nurse Practitioner 9436375144 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0017141498VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Feb 19, 2018 Accepting new patients
Cova Care, PLLC Women'S Health Current Accepting new patients
Childrens Specialty Group PLLC CurrentSince Jun 1, 2019 Accepting new patients
Bayview Physician Services, PC CurrentSince Feb 19, 2018 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3802 Poplar Hill Rd
Ste C
Chesapeake, VA 23321
Phone (757) 483-4600

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

811 Redgate Ave
Norfolk, VA 23507
Phone (757) 668-7874

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

825 Fairfax Ave
Norfolk, VA 23507
Phone (757) 446-5955

2601 Colley Ave
Ste 2A
Norfolk, VA 23517
Phone 7578618612 ext. 1001

5834 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 668-4570

6425 Richmond Rd
Williamsburg, VA 23188
Phone (757) 345-3242

Organizations & group practices 4

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1245656958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COLLEY AVE STE 2A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171131",
            "telephone_number": "757-861-9814",
            "fax_number": "757-861-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COLLEY AVE STE 2A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171131",
            "telephone_number": "757-861-9812",
            "fax_number": "757-861-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 Redgate Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071515",
            "country_code": "US",
            "telephone_number": "757-668-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHIMERE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0017141498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "10129497N",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-010",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH PLAN",
            "identifier": "1245656958",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245656958",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245656958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.