Patrice Chance Malena, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024055685 Issued in VA

Practice address

12700 McManus Blvd
Suite 102 a
Newport News, VA 23602-4407

Phone

(757) 874-8696

Fax

(757) 872-9904

NPI assigned

Jul 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1508863853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-594-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 MCMANUS BLVD",
            "address_2": "SUITE 102 A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024407",
            "telephone_number": "757-874-8696",
            "fax_number": "757-872-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENA",
        "first_name": "PATRICE",
        "middle_name": "CHANCE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024055685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Maiers
• Steven Michael Majdecki, LCSW
• Tiffany Major
• Subramanian Malaisamy, MBBS, MRCP (UK)
• Perla Marina Maldonado Rivera
• Sophia Gilman Mallari, DO
• Morgan Mallory
• Taylor Mallory, RDN
• Karen Teresa Malone
• Latonya Malone, LPN

• Family Nurse Practitioner in Newport News, VA
• Providers in Newport News, 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 Dec 18, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.