Individual provider Active NPI

Deborah Paige Quinn, NP

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1700028628
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024168244 Issued in VA
Practice address
6160 Kempsville Cir
Suite 200 a
Norfolk, VA 23502-3933
Phone
(757) 622-6315
Fax
(757) 625-6940
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024168244 VA Primary

Addresses

Primary practice location

6160 Kempsville Cir
Suite 200 a
Norfolk, VA 23502-3933

Mailing address

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Other practice location 1

733 Volvo Pkwy Ste 120
Chesapeake, VA 23320-1609
Phone (757) 389-5544

Other practice location 2

11842 Rock Landing Dr Ste 120
Newport News, VA 23606-4437
Phone (757) 595-8816

Other practice location 3

11842 Rock Landing Dr Ste 120
Newport News, VA 23606-4437
Phone (757) 595-8816

Other practice location 4

207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Phone (757) 564-8535

Other practice location 5

1540 Breezeport Way Ste 100
Suffolk, VA 23435-3752
Phone (757) 745-7261

Other practice location 6

1248 Perimeter Pkwy Ste 482
Virginia Beach, VA 23454-5914
Phone (757) 496-5085

Other identifiers 1

IdentifierTypeStateIssuer
020408M97OtherVAMEDICARE PTAN

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
I20090803000654 VA Practitioner - Nurse Practitioner 0143373571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3345 Bridge Rd
Suite 900
Suffolk, VA 23435-1848
Phone (757) 241-0411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024168244VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Acne & Aesthetics CurrentSince Sep 1, 2019 Accepting new patients
Mid Atlantic Dermatology Past Accepting new patients

Locations

3345 Bridge Rd
Ste 900
Suffolk, VA 23435
Phone (757) 241-0411

Interoperability endpoints

  • Direct secure messaging: deborahquinn@pdsltd.allscriptsdirect.net

Organizations & group practices 2

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700028628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR",
            "address_2": "SUITE 200 A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-622-6315",
            "fax_number": "757-625-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 Volvo Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201609",
            "country_code": "US",
            "telephone_number": "757-389-5544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11842 Rock Landing Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064437",
            "country_code": "US",
            "telephone_number": "757-595-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11842 Rock Landing Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064437",
            "country_code": "US",
            "telephone_number": "757-595-8816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Bulifants Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885732",
            "country_code": "US",
            "telephone_number": "757-564-8535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Breezeport Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234353752",
            "country_code": "US",
            "telephone_number": "757-745-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 Perimeter Pkwy Ste 482",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545914",
            "country_code": "US",
            "telephone_number": "757-496-5085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "DEBORAH",
        "middle_name": "PAIGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "020408M97",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.