Stephanie E Black, MSN, LNP, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024182112 Issued in VA

Practice address

6161 Kempsville Cir Ste 240
Norfolk, VA 23502-3932

Phone

(757) 261-5712

NPI assigned

Aug 26, 2021

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

Other names 1

• Stephanie E Deshields Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdeshields144100@direct.sentara.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sentara Medical Group

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

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1538836507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 240",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-261-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 KEMPSVILLE CIR STE 240",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023932",
            "telephone_number": "757-261-5712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 First Colonial Rd Ste 407",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542406",
            "country_code": "US",
            "telephone_number": "757-395-6316",
            "fax_number": "757-395-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSN, LNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DESHIELDS",
            "middle_name": "E",
            "credential": "MSN, LNP, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Black
• James Edward Black III, MD
• Joshua Black, OD
• Judith Lynn Black, PSY.D.
• Lenora Black, LPC
• Kaitlin R. Blackard, MD
• Alexia Lauren Blackhurst, DMD
• Blackout Transportation LLC
• Kellie Blackwelder, RN
• Addison Leigh Blackwell

• Family Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, 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 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.