Gina B Stukes

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

PGP-0633736 Issued in VA

Practice address

3626 Western Branch Blvd
Portsmouth, VA 23707-2534

Phone

(757) 955-3390

NPI assigned

Jan 18, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Right Paths Inc.

  • Community/Behavioral Health Agency
  • Portsmouth, VA
  • NPI 1457106361
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1427763069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 WESTERN BRANCH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072534",
            "telephone_number": "757-955-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 WESTERN BRANCH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072534",
            "telephone_number": "757-955-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKES",
        "first_name": "GINA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "VA",
            "license": "PGP-0633736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Streiff, NP
• Lafonda Stringer
• Sean Michael Stuart, D.O.
• Cynthia Rose Stuckey, RN LACTATION CONSULT
• Peter Stuhldreher, M.D.
• Madelaine Mills Sturgill, MD
• Tyler Dean Sturgill, MD
• Luke Chandler Suber
• Thomas Michael Sublett, DO
• Suburban Pharmacy Inc

• Developmental - Behavioral Pediatrics Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Developmental - Behavioral Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.