Vanessa Peyton Fowlkes, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024164743 Issued in VA

Practice address

5116 Richmond Henrico Tpke
Richmond, VA 23227-3627

Phone

(804) 613-5907

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Health PlanGroup PAC ID 1658736186, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Optima Health Plan

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1396466066
  Medicare reassignment Care Compare group NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Housecalls of Virginia

  • Geriatric Medicine (Family Medicine) Physician
  • Richmond, VA
  • NPI 1346436797
  NPD (past)
• In Home Solutions LLC

  • Family Nurse Practitioner
  • Richmond, VA
  • NPI 1164758165
  NPD (past)
• Sentara Medical Group

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1245357920
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1467477273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-254-1760",
            "fax_number": "401-235-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 RICHMOND HENRICO TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273627",
            "telephone_number": "804-613-5907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232212601",
            "country_code": "US",
            "telephone_number": "804-254-1760",
            "fax_number": "401-235-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLKES",
        "first_name": "VANESSA",
        "middle_name": "PEYTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024164743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467477273",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M. Fountain, LCSW
• Kevin Jacob Foust
• Alpha A Fowler III, M.D.
• Sarah R. Fowler
• Stephanie Fowler, PT
• Aaron Fox, MD
• Amber Mi Fox, MS
• Charlene Jones Fox, LNP
• Clarita T. Fox, R.N.
• Erin Fox, RDH

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.