Individual provider Active NPI

Vivia Brogden Whitfield, FNP

  • Family Nurse Practitioner
  • Clarksville, VA
National Provider Identifier
1568650802
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167548 Issued in VA
Practice address
115 College St
Clarksville, VA 23927-9125
Phone
(434) 374-5344
Fax
(434) 374-4814
NPI assigned
Oct 11, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024167548 VA
Family Nurse Practitioner 363LF0000X 0024167548 VA Primary

Addresses

Primary practice location

115 College St
Clarksville, VA 23927-9125

Mailing address

115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344

Other identifiers 1

IdentifierTypeStateIssuer
1568650802MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080604000045 VA Practitioner - Nurse Practitioner 5698845550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Regional Hospital IncGroup PAC ID 4587572805, 27 clinicians

Practice addresses (Care Compare)

101 Aubreys Loop
South Boston, VA 24592-5054
Phone (434) 517-8627

115 College St
Clarksville, VA 23927-9125
Phone (434) 374-5344

946 N Main St
Chase City, VA 23924-1139
Phone (434) 372-5141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients
Halifax Regional Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Halifax Regional Hospital, Inc Past Accepting new patients

Locations

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

115 College St
Clarksville, VA 23927
Phone (434) 374-5344

15210 L P Bailey Memorial Hwy
Nathalie, VA 24577
Phone (434) 349-3113

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Interoperability endpoints

  • Direct secure messaging: vwhitfield524322@direct.sentara.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1568650802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239279125",
            "telephone_number": "434-374-5344",
            "fax_number": "434-374-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239279125",
            "telephone_number": "434-374-5344",
            "fax_number": "434-374-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "VIVIA",
        "middle_name": "BROGDEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167548",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568650802",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, VA

Sources for this page

Verify at the official NPI Registry.