Active NPI
Stephanie Williams Hatch, AGACNP-BC
- Gerontology Nurse Practitioner
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024180183
- Practice address
- 3920A Bridge Rd Ste 204
Suffolk, VA 23435-1117 - Phone
- (757) 983-0351
- Fax
- (757) 510-9218
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024180183 | VA | |
| Gerontology Nurse Practitioner | 363LG0600X | 0024180183 | VA | Primary |
Addresses
Primary practice location
3920A Bridge Rd Ste 204
Suffolk, VA 23435-1117
Mailing address
3920A Bridge Rd Ste 204
Suffolk, VA 23435-1117
Phone (757) 983-0351
Other practice location 1
304 Homestead Rd
Franklin, VA 23851-1345
Phone (757) 576-3067
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3920 A Bridge Rd
Suite 204
Suffolk, VA 23435-1117
Phone (757) 983-0351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
3920A Bridge Rd
Ste 204
Suffolk, VA 23435
Phone (757) 983-0351
Interoperability endpoints
- shatch450997@direct.sentara.net
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1285240648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920A BRIDGE RD STE 204",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351117",
"telephone_number": "757-983-0351",
"fax_number": "757-510-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920A BRIDGE RD STE 204",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351117",
"telephone_number": "757-983-0351",
"fax_number": "757-510-9218"
}
],
"practiceLocations": [
{
"address_1": "304 Homestead Rd",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "VA",
"postal_code": "238511345",
"country_code": "US",
"telephone_number": "757-576-3067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATCH",
"first_name": "STEPHANIE",
"middle_name": "WILLIAMS",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024180183",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024180183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.