Individual provider Active NPI

Qeunna Donte Smith, RN,FNP

  • Registered Nurse
  • Chesapeake, VA
National Provider Identifier
1265919138
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001251637 Issued in VA
Practice address
4351 Indian River Rd Ste a
Chesapeake, VA 23325-3148
Phone
(757) 271-1286
Fax
(757) 226-9173
NPI assigned
Jul 24, 2018
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X 0001251637 VA
Registered Nurse 163W00000X 0001251637 VA Primary

Addresses

Primary practice location

4351 Indian River Rd Ste a
Chesapeake, VA 23325-3148

Mailing address

4351 Indian River Rd Ste a
Chesapeake, VA 23325-3148
Phone (577) 271-1286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001251637VAMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Healthcare and Wellness LLC Current Accepting new patients
Senora Angels Training Center,LLC Current Accepting new patients
Expert Healthcarellc CurrentSince Sep 10, 2023 Accepting new patients

Locations

4351 Indian River Rd
Ste A
Chesapeake, VA 23325
Phone (757) 271-1286

860 Greenbrier Cir
Ste 212
Chesapeake, VA 23320
Phone (577) 367-8367

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1265919138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 INDIAN RIVER RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253148",
            "telephone_number": "577-271-1286",
            "fax_number": "757-226-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 INDIAN RIVER RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253148",
            "telephone_number": "757-271-1286",
            "fax_number": "757-226-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "QEUNNA",
        "middle_name": "DONTE",
        "credential": "RN,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "VA",
            "license": "0001251637",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001251637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.