Individual provider Active NPI

Teashia Roeske, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1689053142
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024172584 Issued in VA
Practice address
6330 Newtown Rd Ste 250
Norfolk, VA 23502-4802
Phone
(757) 473-3770
Fax
(757) 473-3768
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172584 VA Primary
Family Nurse Practitioner 363LF0000X 0024172584 VA

Addresses

Primary practice location

6330 Newtown Rd Ste 250
Norfolk, VA 23502-4802

Mailing address

6330 Newtown Rd Ste 250
Norfolk, VA 23502-4802
Phone (757) 504-0247

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
I20150717002254 VA Practitioner - Nurse Practitioner 6901119080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6330 Newtown Rd
Suite 420
Norfolk, VA 23502-4807
Phone (757) 263-0309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172584VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teashia Dunn, P.C. Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Legacy Care Aco LLC CurrentSince Oct 1, 2024 Accepting new patients
Dr King-Jones and Associates CurrentSince Nov 1, 2022 Accepting new patients
Terrinda Alston, PLLC Psychiatric/Mental Health CurrentSince Oct 9, 2022 Accepting new patients
Legacy Care LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

1403 Greenbrier Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 436-2444

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

6330 Newtown Rd
Ste 250
Norfolk, VA 23502
Phone (757) 504-0247

6330 Newtown Rd
Ste 420
Norfolk, VA 23502
Phone (757) 263-0309

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1689053142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-504-0247",
            "fax_number": "757-504-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-473-3770",
            "fax_number": "757-473-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESKE",
        "first_name": "TEASHIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172584",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.