Caitlin T Johnson, NP
Individual provider Active NPI Nurse Practitioner · Chesapeake, VA
NPI 1437690153 · NPPES record last updated Mar 14, 2017
Key facts
- NPI
- 1437690153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024174606 (VA)
- Practice address
- 725 Volvo Pkwy
Ste 102
Chesapeake, VA 23320-1621 - Phone
- (757) 609-3380
- Fax
- (757) 609-3384
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayview Physician Services PC
Practice addresses (Care Compare)
725 Volvo Pkwy
Chesapeake, VA 23320-1602
Phone (757) 548-0076
Hospital & facility affiliations
- Chesapeake General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519001850 | VA | Practitioner - Nurse Practitioner | 3072880160 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174606 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current |
Accepting new patients | |
| Bayview Physician Services, PC | Current |
Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients |
Locations
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
725 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 548-0076
725 Volvo Pkwy
Ste 102
Chesapeake, VA 23320
Phone (757) 842-4110
713 Volvo Pkwy
Ste 103
Chesapeake, VA 23320
Phone (757) 609-3404
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
6025 Providence Rd
Virginia Beach, VA 23464
Phone (757) 474-0600
Interoperability endpoints
- caitlin.johnson@bayview.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024174606 | VA | Yes |
Addresses
Primary practice location
725 Volvo Pkwy
Ste 102
Chesapeake, VA 23320-1621
Mailing address
PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 609-3380
Other providers in Chesapeake, VA
- Charmaine Marie Johnson-Garcia
- Holly Johnson-Rodriguez
- Andrew Phillip Johnson
- Ann-Marie Johnson
- Brent Johnson
- Carleah Johnson
- Chanel Nicole Johnson
- Darlene W. Johnson
- Dominic A Johnson
- Janelle Johnson
All providers in Chesapeake, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.