Eileen B Vernon, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024168274 Issued in VA

Practice address

5424 Discovery Park Blvd
Suite 201
Williamsburg, VA 23188-2904

Phone

(757) 345-2170

Fax

(757) 903-4877

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Thomas L. Schaefer, MD

  • Specialist
  • Pittsburgh, PA
  • NPI 1396757670
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1295723039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "SUITE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064434",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BLVD",
            "address_2": "SUITE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882904",
            "telephone_number": "757-345-2170",
            "fax_number": "757-903-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "EILEEN",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "UP001347B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velocity Urgent Care, LLC
• Velocity Urgent Care, LLC
• Kathleen A Vereb, MD
• Kailen Verilla, PHARM.D.
• Verita Psychiatry LLC
• Vertigo Dizzy Clinic LLC
• Via Vitae Chiropractic LLC
• Dan F Via, M.D.
• Rosemary Via, MS, LPC
• Deborah S Vick, PSYD, LCP

• Family Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.