Individual provider Active NPI

Deloris Council, NP

  • Gerontology Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1629633524
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024177573 Issued in VA
Practice address
3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339
Phone
(443) 383-9300
Fax
(855) 866-8710
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 0024177573 VA Primary

Addresses

Primary practice location

3900 Westerre Pkwy Ste 300
Richmond, VA 23233-1339

Mailing address

23039 Stave Mill Rd
Windsor, VA 23487-5218
Phone (443) 383-9300

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
I20191112000701 VA Practitioner - Nurse Practitioner 9638501760 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177573VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Bayview Physician Services, PC CurrentSince Oct 1, 2019 Accepting new patients
Bon Secours Medical Group Hampton Roads Primary Care LLC CurrentSince Feb 14, 2022 Accepting new patients
Consonant Healing Medical Associates CurrentSince Dec 12, 2022 Accepting new patients
Bayview Physician Services, PC CurrentSince Oct 1, 2019 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

102 Fairview Dr
Ste B
Franklin, VA 23851
Phone (757) 562-2158

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

4868 Bridge Rd
Ste 370
Suffolk, VA 23435
Phone (757) 686-9400

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

4868 Bridge Rd
Suffolk, VA 23435
Phone (757) 483-7113

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1629633524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23039 STAVE MILL RD",
            "city": "WINDSOR",
            "state": "VA",
            "postal_code": "234875218",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTERRE PKWY STE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331339",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCIL",
        "first_name": "DELORIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024177573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.