Individual provider Active NPI

Audra Lisa Doyle, NP-C

  • Adult Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1417347451
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024172315 Issued in VA
Practice address
249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271
Phone
(650) 761-4737
Fax
(877) 395-9003
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024172315 VA
Adult Health Nurse Practitioner 363LA2200X 0024172315 VA Primary

Addresses

Primary practice location

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271

Mailing address

249 Central Park Ave Ste 300
Virginia Beach, VA 23462-3271
Phone (650) 761-4737

Other practice location 1

226 Market St
New Castle, VA 24127-6080
Phone (540) 864-6390

Other practice location 2

1802 Electric Rd
Roanoke, VA 24018-1619
Phone (540) 283-3760

Other practice location 3

1047 Mecca St NE
Roanoke, VA 24012-6219
Phone (540) 380-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY, VT, NH, KY, CT, WV, FL, GA, OK, MS, IL, NC, TN, PA, IA, TX, MI18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
I20151113000584 VA Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 4 organizations
I20240822003298 NY Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20240925003071 VT Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20240926004065 NH Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20240930001978 KY Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241001000497 CT Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241002003434 WV Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241025003640 FL Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241028002393 GA Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 2 organizations
I20241028003450 OK Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241028003567 MS Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241104000498 IL Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241104001231 NC Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20241220001225 TN Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20250313000333 PA Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20250331002225 IA Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20250716003552 TX Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization
I20250730000372 MI Practitioner - Nurse Practitioner 7012227523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ansible Health Medical Group PAGroup PAC ID 2769831353, 5 clinicians
Ansible Professionals LLCGroup PAC ID 4587057492, 4 clinicians

Practice addresses (Care Compare)

105 W 125TH St
FRNT 1
New York, NY 10027-4444
Phone (877) 267-4253

1055 Howell Mill Rd NW
Suite 8082
Atlanta, GA 30318-5557
Phone (877) 267-4253

249 Central Park Ave
Suite 300 55
Virginia Beach, VA 23462-3099
Phone (877) 467-9006

322 Lamar Ave
Suite 107
Charlotte, NC 28204-2436
Phone (877) 267-4253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172315VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ansible Professionals LLC CurrentSince Dec 28, 2021 Accepting new patients
Ansible Health Medical Group PA CurrentSince Jul 1, 2024 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Sep 8, 2015 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Sep 8, 2015 Accepting new patients
Universal Health Corporation CurrentSince Jul 22, 2021 Accepting new patients

Locations

1019 Main St
Bridgeport, CT 06604
Phone (332) 301-6945

1032 E Brandon Blvd
Brandon, FL 33511
Phone (305) 203-2853

7402 N 56th St
Tampa, FL 33617
Phone (813) 623-1800

7402 N 56th St
Ste 355
Tampa, FL 33617
Phone (813) 686-6947

1055 Howell Mill Rd NW
Ste 8082
Atlanta, GA 30318
Phone (678) 785-1927

115 4th Ave S
Clinton, IA 52732
Phone (877) 267-4243

1130 S Canal St
Chicago, IL 60607
Phone (217) 816-6341

3058 Bardstown Rd
Louisville, KY 40205
Phone (270) 449-1631

22725 Greater Mack Ave
Ste B301
St Clr Shores, MI 48080
Phone (571) 449-7837

249 Beauvoir Rd
#B2
Biloxi, MS 39531

249 Beauvoir Rd
Biloxi, MS 39531
Phone (662) 856-0441

322 Lamar Ave
Ste 107
Charlotte, NC 28204
Phone (704) 251-7072

804 Meadow St
Littleton, NH 03561

105 W 125th St
Frnt 1
New York, NY 10027
Phone (347) 849-1576

111 N Oak St
Sallisaw, OK 74955

210 W Grant St
Ste 109
Lancaster, PA 17603

6111 Shallowford Rd
Ste 105D
Chattanooga, TN 37421
Phone (918) 742-0400

6705 W Highway 290
Ste 607
Austin, TX 78735
Phone (512) 843-5169

226 Market St
New Castle, VA 24127
Phone (540) 863-6390

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

249 Central Park Ave
Ste 300
Virginia Beach, VA 23462
Phone (540) 529-8616

249 Central Park Ave
Ste 30055
Virginia Beach, VA 23462
Phone (718) 577-2338

3558 Jefferson St N
Ste 5
Lewisburg, WV 24901

Interoperability endpoints

  • Direct secure messaging: audra.doyle.1@25005.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25005/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1417347451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "650-761-4737",
            "fax_number": "877-395-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623271",
            "telephone_number": "650-761-4737",
            "fax_number": "877-395-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Market St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "VA",
            "postal_code": "241276080",
            "country_code": "US",
            "telephone_number": "540-864-6390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240181619",
            "country_code": "US",
            "telephone_number": "540-283-3760",
            "fax_number": "540-989-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1047 Mecca St NE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240126219",
            "country_code": "US",
            "telephone_number": "540-380-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "AUDRA",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024172315",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024172315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.