Active NPI
Felicia Dyke
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hampton, VA
National Provider Identifier
1417379561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 2327
- Practice address
- 10 Castle Haven Rd
Hampton, VA 23666-6032 - Phone
- (757) 469-4112
- Fax
- (757) 224-3411
- NPI assigned
- Jan 8, 2014
- Last updated
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 2327 | VA | Primary |
Addresses
Primary practice location
10 Castle Haven Rd
Hampton, VA 23666-6032
Mailing address
10 Castle Haven Rd
Hampton, VA 23666-6032
Phone (757) 469-4112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2327 | VA | MD | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1417379561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CASTLE HAVEN RD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666032",
"telephone_number": "757-469-4112",
"fax_number": "757-224-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CASTLE HAVEN RD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666032",
"telephone_number": "757-469-4112",
"fax_number": "757-224-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKE",
"first_name": "FELICIA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "2327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.