Active NPI
Deloris Council, NP
- Gerontology Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024177573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024177573 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Primary Care LLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1528627379
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1063217545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.