Individual provider Active NPI

Jennifer Bernabe-Tobin

  • Advanced Practice Midwife
  • Chesapeake, VA
National Provider Identifier
1306367768
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024173005 Issued in VA
Practice address
824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697
Phone
(757) 410-7390
NPI assigned
Jul 6, 2017
Last updated
Jul 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024173005 VA Primary

Addresses

Primary practice location

824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697

Mailing address

707 Nesting PL
Chesapeake, VA 23320-6895

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212002849 VA Practitioner - Certified Nurse Midwife (CNM) 7113285537 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024173005VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Obhg Virginia, LLC CurrentSince Jan 1, 2023 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Dec 31, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 19, 2022 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Dec 31, 2024 Accepting new patients
William K Rand, III, Gynecology PLLC Past Accepting new patients
Ruetzel Gynecology & Obstetrics PastSince Dec 22, 2015 Accepting new patients

Locations

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

8644 Sudley Rd
#220
Manassas, VA 20110

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12771/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1306367768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 NESTING PL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233206895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "757-410-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE-TOBIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024173005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.