Individual provider Active NPI

Gladys Brown

  • Adult Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1689240228
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024181491 Issued in VA
Practice address
780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone
(206) 495-0724
Fax
(877) 823-3570
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024181491 VA Primary
Gerontology Nurse Practitioner 363LG0600X 0024181491 VA

Addresses

Primary practice location

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332

Mailing address

420 Stonecrest Dr
Woodstock, VA 22664-1964
Phone (703) 310-9245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240307000518 VA Practitioner - Nurse Practitioner 8527404060 Reassigns benefits to 2 organizations
I20241021002275 DC Practitioner - Nurse Practitioner 8527404060 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County CurrentSince Mar 2, 2026 Accepting new patients
Passionate Nurse Practitioner Services LLC Adult Health CurrentSince Mar 25, 2026 Accepting new patients
Prince William County Community Services Board CurrentSince Mar 2, 2026 Accepting new patients
Klinic Medical PLLC CurrentSince Jan 13, 2024 Accepting new patients
National Capital Treatment and Recovery CurrentSince Sep 8, 2024 Accepting new patients
National Capital Treatment and Recovery-Maryland CurrentSince Sep 8, 2024 Accepting new patients

Locations

521 N Quincy St
Arlington, VA 22203

200 N Glebe Rd
Ste 104
Arlington, VA 22203

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

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

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

1201 2nd Ave
Ste 900
Seattle, WA 98101
Phone (206) 801-1621

Organizations & group practices 6

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1689240228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 STONECREST DR",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641964",
            "telephone_number": "703-310-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527332",
            "telephone_number": "206-495-0724",
            "fax_number": "877-823-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GLADYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024181491",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024181491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.