Active NPI
Melanie M Petchel, CPNP
- Pediatric Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1699700237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024164776
- Practice address
- 500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871 - Phone
- (757) 668-2500
- Fax
- (757) 668-2510
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024164776 | VA | Primary |
Addresses
Primary practice location
500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871
Mailing address
500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871
Phone (757) 668-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7789688 | Medicaid | VA | |
| 44700N | Other | VA | OPTIMA,FAMILY CARE, FAMIS |
| 541778786 | Other | VA | NC HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164776 | VA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1699700237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DISCOVERY DR",
"address_2": "SUITE 302",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203871",
"telephone_number": "757-668-2500",
"fax_number": "757-668-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DISCOVERY DR",
"address_2": "SUITE 302",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203871",
"telephone_number": "757-668-2500",
"fax_number": "757-668-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETCHEL",
"first_name": "MELANIE",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024164776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7789688",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA,FAMILY CARE, FAMIS",
"identifier": "44700N",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC HEALTH",
"identifier": "541778786",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.