Individual provider Active NPI

Christina Elisabeth Sanchez, AGPCNP

  • Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1457800229
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173900 Issued in VA
Practice address
2790 Godwin Blvd Ste 375
Suffolk, VA 23434-8175
Phone
(757) 934-4646
Fax
(757) 995-1944
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 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 0024173900 VA
Nurse Practitioner 363L00000X 0024173900 VA Primary

Addresses

Primary practice location

2790 Godwin Blvd Ste 375
Suffolk, VA 23434-8175

Mailing address

2790 Godwin Blvd Ste 375
Suffolk, VA 23434-8175
Phone (757) 934-4646

Other practice location 1

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-4955

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
I20170125000316 VA Practitioner - Nurse Practitioner 2062794118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

2790 Godwin Blvd
Suite 375
Suffolk, VA 23434-8175
Phone (757) 934-4646

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients

Locations

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Organizations & group practices 3

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1457800229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 375",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348175",
            "telephone_number": "757-934-4646",
            "fax_number": "757-995-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 GODWIN BLVD STE 375",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348175",
            "telephone_number": "757-934-4646",
            "fax_number": "757-995-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 High St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237073236",
            "country_code": "US",
            "telephone_number": "757-398-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CHRISTINA",
        "middle_name": "ELISABETH",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024173900",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.