Atoosa Deyanat Purveyor, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024167928 Issued in VA

Practice address

100 Sentara Cir RM 2C
Williamsburg, VA 23188-5713

Phone

(757) 984-7217

Fax

(757) 984-7210

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Atoosa Deyanat-Yazdi Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospitalist Medicine Physicians of Fredericksburg, LLC

  • Internal Medicine Physician
  • Fredericksburg, VA
  • NPI 1447577572
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Virginia - Richmond, LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1699311324
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1407012859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SENTARA CIR RM 2C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885713",
            "telephone_number": "757-984-7217",
            "fax_number": "757-984-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Old Denbigh Blvd",
            "address_2": "Suite 1020A",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236022017",
            "country_code": "US",
            "telephone_number": "757-875-2050",
            "fax_number": "757-875-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURVEYOR",
        "first_name": "ATOOSA",
        "middle_name": "DEYANAT",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024167928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATOOSA",
            "last_name": "DEYANAT-YAZDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Publix North Carolina, LP
• Richard A Pugliese, DDS
• Kimberly Dawn Pully, OTR/L
• Pulmonary and Sleep Consultants of Williamsburg, P.C.
• Brittany Marie Purdy, DPT
• Sidra Qadir
• Quality DME Inc
• Denise Quarantello
• Lisa R Query, PHD
• Nicolle Quesada

• Acute Care Nurse Practitioner in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.