Individual provider Active NPI

Theresa Marianna Wright, FNP-C

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1376933754
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172217 Issued in VA
Practice address
1017 University Blvd
Suffolk, VA 23435-0048
Phone
(757) 335-4546
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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 0024172217 VA Primary

Addresses

Primary practice location

1017 University Blvd
Suffolk, VA 23435-0048

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

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
I20150417001297 VA Practitioner - Nurse Practitioner 9638497852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Norfolk, VA 23502
Phone (757) 354-2885

2600 Compass Rd
Glenview, IL 60026-8001

6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885

Hospital & facility affiliations

  • Virginia Health Home Care Home health agency, Newport News, VA, CCN 497677
  • Medi Home Health Agency Home health agency, Chesapeake, VA, CCN 497580
  • Lynhill Home Health Home health agency, Williamsburg, VA, CCN 497669
  • Interim Healthcare Home health agency, Virginia Beach, VA, CCN 497264
  • Bayada Home Health Care - Yorktown Home health agency, Yorktown, VA, CCN 497607
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172217VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Jan 17, 2018 Accepting new patients

Locations

540 Aberthaw Ave
Newport News, VA 23601
Phone (757) 595-1946

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

113 Battle Rd
Yorktown, VA 23692
Phone (757) 898-1491

Organizations & group practices 4

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 6

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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1376933754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 UNIVERSITY BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234350048",
            "telephone_number": "757-335-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "THERESA",
        "middle_name": "MARIANNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.