Individual provider Active NPI

Megan D McKay, FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1477281210
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184907 Issued in VA
Practice address
4501 N Witchduck Rd Ste B
Virginia Beach, VA 23455-6217
Phone
(757) 333-7625
Fax
(757) 333-7639
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001235656 VA
Family Nurse Practitioner 363LF0000X 0024184907 VA Primary

Addresses

Primary practice location

4501 N Witchduck Rd Ste B
Virginia Beach, VA 23455-6217

Mailing address

4501 N Witchduck Rd Ste B
Virginia Beach, VA 23455-6217
Phone (757) 333-7625

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
I20220911000038 VA Practitioner - Nurse Practitioner 3072998137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reboot Functional Health Care CorporationGroup PAC ID 1052796604, 5 clinicians

Practice addresses (Care Compare)

2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Phone (757) 301-6985

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001235656VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2022 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 1, 2022 Accepting new patients
Reboot Functional Health Care Corporation CurrentSince Oct 28, 2024 Accepting new patients
Beach Counseling, LLC PastSince Jul 11, 2018 Accepting new patients

Locations

827 Diligence Dr
Ste 100
Newport News, VA 23606

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

13347 Warwick Blvd
Newport News, VA 23602
Phone (757) 877-0214

2041 Fisher Arc
Ste 140
Virginia Beach, VA 23456
Phone (757) 301-6985

2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985

4501 N Witchduck Rd
Ste B
Virginia Beach, VA 23455
Phone (757) 333-7625

Interoperability endpoints

  • Direct secure messaging: megan.mckay.1@29909.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 4

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 1

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1477281210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556217",
            "telephone_number": "757-333-7625",
            "fax_number": "757-333-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556217",
            "telephone_number": "757-333-7625",
            "fax_number": "757-333-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MEGAN",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001235656",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.