NPIMap

Organization Active NPI

Old Dominion University

Doing business as Old Dominion University Community Care

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1548966575
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OLD DOMINION UNIVERSITY
Doing business as
Old Dominion University Community Care
Practice address
1881 University Drive
School of Nursing
Virginia Beach, VA 23453
Phone
(757) 683-4390
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OLD DOMINION UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Tammy Speerhas, DNP, FNP-C, CENNPI 1780944173
Title
Director of Odu Community Care
Phone
(757) 683-4390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1881 University Drive
School of Nursing
Virginia Beach, VA 23453

Mailing address

1881 University Drive
School of Nursing
Virginia Beach, VA 23453
Phone (757) 683-4390

Other names 1

  • Old Dominion University Community Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2278408Old Dominion University Community Care1881 University Drive, Virginia Beach, VA 23453Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory
Part of
Old Dominion University

Locations

1881 University Dr
Virginia Beach, VA 23453
Phone (757) 368-4100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1548966575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DRIVE",
            "address_2": "SCHOOL OF NURSING",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23453",
            "telephone_number": "757-683-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 UNIVERSITY DRIVE",
            "address_2": "SCHOOL OF NURSING",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23453",
            "telephone_number": "757-683-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD DOMINION UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLD DOMINION UNIVERSITY",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SPEERHAS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR OF ODU COMMUNITY CARE",
        "authorized_official_telephone_number": "757-683-4390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, CEN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Dominion University Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.