Individual provider Active NPI

Gloria G Engelberger, NP

  • Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1629034913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024166038 Issued in VA
Practice address
245 Chesapeake Ave
Newport News, VA 23607-6038
Phone
(757) 928-8040
Fax
(757) 928-8045
NPI assigned
Apr 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024166038 VA Primary

Addresses

Primary practice location

245 Chesapeake Ave
Newport News, VA 23607-6038

Mailing address

245 Chesapeake Ave
Newport News, VA 23607-6038
Phone (757) 928-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
James River Comprehensive Pain Management Past Accepting new patients
Sentara Medical Group PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629034913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHESAPEAKE AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236076038",
            "telephone_number": "757-928-8040",
            "fax_number": "757-928-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHESAPEAKE AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236076038",
            "telephone_number": "757-928-8040",
            "fax_number": "757-928-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERGER",
        "first_name": "GLORIA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024166038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.