Individual provider Active NPI

Destinee Himes

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1306600127
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001280068 Issued in VA
Practice address
860 Omni Blvd Ste 110
Newport News, VA 23606-4430
Phone
(757) 223-9794
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0001280068 VA Primary

Addresses

Primary practice location

860 Omni Blvd Ste 110
Newport News, VA 23606-4430

Mailing address

934 Nicklaus Dr
Newport News, VA 23602-8895
Phone (757) 320-6982

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
I20241115004269 VA Practitioner - Nurse Practitioner 1153855861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

860 Omni Blvd
Suite 110
Newport News, VA 23606-4430
Phone (757) 223-9794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

2205 Executive Dr
Ste A
Hampton, VA 23666
Phone (757) 223-4992

860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

13195 Warwick Blvd
Ste 2C
Newport News, VA 23602
Phone (804) 877-4221

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 110
Newport News, VA 23606
Phone (757) 223-9794

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

4125 Ironbound Rd
Ste 201
Williamsburg, VA 23188
Phone (757) 220-8552

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 2

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": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1306600127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 NICKLAUS DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028895",
            "telephone_number": "757-320-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-223-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "DESTINEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001280068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.