Organization Active NPI

Vibrance Health Services PLLC

  • Health Service Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1366298952
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
VIBRANCE HEALTH SERVICES PLLC
Practice address
633 Independence Blvd Ste a
Virginia Beach, VA 23462-2200
Phone
(757) 916-7327
Fax
(840) 400-8930
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mrs. Chanell T Dorris, NP-CNPI 1740791078
Title
Owner
Phone
(267) 694-0554

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

633 Independence Blvd Ste a
Virginia Beach, VA 23462-2200

Mailing address

5448 Cape Henry Ave
Norfolk, VA 23513-2411

Other identifiers 1

IdentifierTypeStateIssuer
1740791078MedicaidVA

National Provider Directory

National Provider Directory

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": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1366298952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 CAPE HENRY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 INDEPENDENCE BLVD STE A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622200",
            "telephone_number": "757-916-7327",
            "fax_number": "840-400-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "CHANELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-694-0554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740791078",
            "state": "VA"
        }
    ],
    "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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.