Individual provider Active NPI

Alisha Quentell Dunn

  • Women's Health Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1609523653
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024185434 Issued in VA
Practice address
1037 Champions Way Ste 300
Suffolk, VA 23435-3764
Phone
(757) 335-7165
Fax
(757) 335-7167
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001258564 VA
Women's Health Nurse Practitioner 363LW0102X 0024185434 VA Primary

Addresses

Primary practice location

1037 Champions Way Ste 300
Suffolk, VA 23435-3764

Mailing address

1037 Champions Way Ste 300
Suffolk, VA 23435-3764
Phone (757) 335-7165

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
I20230428002348 VA Practitioner - Nurse Practitioner 6800251646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Women'S Health and Fitness Centers P.C.Group PAC ID 8022243583, 2 clinicians
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

1037 Champions Way
Suite 300
Suffolk, VA 23435-3764
Phone (757) 335-7165

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001258564VAMDRegistered Nurse
0024185434VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC CurrentSince Aug 20, 2025 Accepting new patients
Lifetime Women'S Health & Fitness Centers P.C. CurrentSince Jan 1, 2023 Accepting new patients
Mid-Atlantic Womens Care PLC Past Accepting new patients

Locations

11842 Rock Landing Dr
Ste 115
Newport News, VA 23606
Phone (757) 595-9905

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

2800 Godwin Blvd
Ste 280
Suffolk, VA 23434
Phone (757) 335-7165

1037 Champions Way
Ste 300
Suffolk, VA 23435
Phone (757) 335-7165

Interoperability endpoints

  • Direct secure messaging: alisha.dunn.1@22824.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1609523653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 CHAMPIONS WAY STE 300",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353764",
            "telephone_number": "757-335-7165",
            "fax_number": "757-335-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CHAMPIONS WAY STE 300",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353764",
            "telephone_number": "757-335-7165",
            "fax_number": "757-335-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "ALISHA",
        "middle_name": "QUENTELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001258564",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024185434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.