Individual provider Active NPI

Tanyell Katrice Thomas, APRN

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1316773104
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189842 Issued in VA
Practice address
1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671
Phone
(757) 312-3132
Fax
(757) 312-6212
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 0024189842 VA Primary

Addresses

Primary practice location

1301 Executive Blvd Ste 200
Chesapeake, VA 23320-3671

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

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
I20241102000200 VA Practitioner - Nurse Practitioner 6507399284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

1301 Executive Blvd
Suite 200
Chesapeake, VA 23320-3671
Phone (757) 312-6460

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group Family CurrentSince Sep 19, 2024 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Sep 19, 2024 Accepting new patients

Locations

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

800 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-3085

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

1301 Executive Blvd
#200
Chesapeake, VA 23320
Phone (757) 312-6460

Interoperability endpoints

  • Direct secure messaging: tanyell.thomas.2@5072.direct.athenahealth.com
  • Direct secure messaging: tanyell.thomas.1@5072.direct.athenahealth.com
  • Direct secure messaging: tanyell.thomas.3@5072.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1316773104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EXECUTIVE BLVD STE 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203671",
            "telephone_number": "757-312-3132",
            "fax_number": "757-312-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANYELL",
        "middle_name": "KATRICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.