Individual provider Active NPI

Jessica Coles

  • Home Health Aide
  • Virginia Beach, VA
National Provider Identifier
1487511630
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6361 Indian River Rd Ste 102
Virginia Beach, VA 23464-3585
Phone
(757) 322-0962
Fax
(757) 257-7488
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X VA Primary

Addresses

Primary practice location

6361 Indian River Rd Ste 102
Virginia Beach, VA 23464-3585

Mailing address

6361 Indian River Rd Ste 102
Virginia Beach, VA 23464-3585
Phone (757) 322-0962

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Residential Care Services CurrentSince Oct 21, 2025 Accepting new patients
Oasis Supportive Care CurrentSince Jan 4, 2026 Accepting new patients

Locations

6361 Indian River Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 322-0962

Organizations & group practices 2

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": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1487511630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6361 INDIAN RIVER RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643585",
            "telephone_number": "757-322-0962",
            "fax_number": "757-257-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6361 INDIAN RIVER RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643585",
            "telephone_number": "757-322-0962",
            "fax_number": "757-257-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.