Organization Active NPI

Fearless Care LLC

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1366047094
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FEARLESS CARE LLC
Practice address
2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500
Phone
(757) 430-4270
Fax
(949) 695-3748
NPI assigned
Dec 1, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Dr. Tricia Marshall, NP-CNPI 1093249880
Title
Owner/NP
Phone
(757) 430-4270

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500

Mailing address

2401 Seaboard Rd Ste 105
Virginia Beach, VA 23456-3500
Phone (757) 430-4270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106002740 VA Part B Supplier - Clinic/Group Practice 9830623354 Receives reassigned benefits from 4 practitioners
Practice locations: Virginia Beach, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2240208Fearless Care LLC2401 Seaboard Rd Suite 105, Virginia Beach, VA 23456Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

2401 Seaboard Rd
Ste 105
Virginia Beach, VA 23456
Phone (757) 430-4270

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20591/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1366047094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SEABOARD RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563500",
            "telephone_number": "757-430-4270",
            "fax_number": "949-695-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SEABOARD RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563500",
            "telephone_number": "757-430-4270",
            "fax_number": "949-695-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARLESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "757-430-4270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.