Individual provider Active NPI

Jessica Doggett, NP

  • Acute Care Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1437567005
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024171869 Issued in VA
Practice address
2790 Godwin Blvd Ste 101
Suffolk, VA 23434-8151
Phone
(757) 539-0670
Fax
(757) 539-1062
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024171869 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 101
Suffolk, VA 23434-8151

Mailing address

6350 Center Dr Ste 200
Norfolk, VA 23502-4107
Phone (757) 213-5700

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
I20141013001115 VA Practitioner - Nurse Practitioner 2466672506 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6350 Ctr Dr
Suite 200
Norfolk, VA 23502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024171869VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services, Inc. CurrentSince Sep 19, 2017 Accepting new patients
Virginia Oncology Associates CurrentSince May 2, 2018 Accepting new patients
Riverside Physician Services Inc CurrentSince Sep 19, 2017 Accepting new patients
Virginia Oncology Associates CurrentSince May 2, 2018 Accepting new patients

Locations

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste C
Newport News, VA 23601
Phone (757) 316-5725

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

6350 Center Dr
Ste 200
Norfolk, VA 23502

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

5838 Harbour View Blvd
Ste 105
Suffolk, VA 23435
Phone (757) 484-0215

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724

500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236

Interoperability endpoints

  • Direct secure messaging: jessica.doggett@voa.ikm.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1437567005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR STE 200",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-213-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348151",
            "telephone_number": "757-539-0670",
            "fax_number": "757-539-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGGETT",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024171869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.