Organization Active NPI

NP on Demand LLC

  • Primary Care Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1316684228
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
NP ON DEMAND LLC
Practice address
4501 N Witchduck Rd Ste E
Virginia Beach, VA 23455-6217
Phone
(757) 821-7477
Fax
(757) 383-9660
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Dominique Hawkins, FNPNPI 1710527544
Title
Nurse Practitioner Owner
Phone
(757) 821-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

4501 N Witchduck Rd Ste E
Virginia Beach, VA 23455-6217

Mailing address

4501 N Witchduck Rd Ste E
Virginia Beach, VA 23455-6217
Phone (757) 821-7477

Other names 1

  • NP On Demand LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address INFO@NPONDEMANDLL.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421001812 VA Part B Supplier - Clinic/Group Practice 2466977665 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, VA

National Provider Directory

National Provider Directory

Locations

739 High St
Ste 126
Portsmouth, VA 23704
Phone (757) 821-7477

4501 N Witchduck Rd
Ste E
Virginia Beach, VA 23455
Phone (757) 404-1237

Interoperability endpoints

  • Direct secure messaging: info@npondemandll.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1316684228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE E",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556217",
            "telephone_number": "757-821-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE E",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556217",
            "telephone_number": "757-821-7477",
            "fax_number": "757-383-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP ON DEMAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "757-821-7477",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@NPONDEMANDLL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4501 N Witchduck Rd Ste E",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234556217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NP On Demand LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NP On Demand LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.