Individual provider Active NPI

Kaylee L Zapata

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1629618871
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024178699 Issued in VA
Practice address
236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone
(757) 853-1380
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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 0024178699 VA Primary

Addresses

Primary practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 434-6169

Other practice location 1

263 McLaws Cir Ste 105
Williamsburg, VA 23185-5674
Phone (248) 434-6169

Other practice location 2

222 Grafton Dr
Grafton, VA 23692-2152
Phone (757) 898-7737

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
I20200213000948 VA Practitioner - Nurse Practitioner 2365878253 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178699VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Feb 17, 2020 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Feb 17, 2020 Accepting new patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

827 Diligence Dr
Ste 100
Newport News, VA 23606

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

222 Grafton Dr
Yorktown, VA 23692
Phone (757) 898-7737

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 5

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1629618871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-853-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 McLaws Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855674",
            "country_code": "US",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Grafton Dr",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "VA",
            "postal_code": "236922152",
            "country_code": "US",
            "telephone_number": "757-898-7737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "KAYLEE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.