Individual provider Active NPI

Ladayasia Olivia Corprew, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1477433084
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024194535 Issued in VA
Practice address
5511 Princess Anne Rd Ste 103
Virginia Beach, VA 23462-3321
Phone
(757) 490-2721
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024194535 VA Primary

Addresses

Primary practice location

5511 Princess Anne Rd Ste 103
Virginia Beach, VA 23462-3321

Mailing address

5516 Winterleaf CT
Virginia Beach, VA 23462-5755
Phone (757) 277-1706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2133 Upton Dr
Suite 126 512
Virginia Beach, VA 23454-1193

PO Box
Pittsburgh, PA 15264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024194535VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1477433084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 WINTERLEAF CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625755",
            "telephone_number": "757-277-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 PRINCESS ANNE RD STE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623321",
            "telephone_number": "757-490-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPREW",
        "first_name": "LADAYASIA",
        "middle_name": "OLIVIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.