Individual provider Active NPI

Dorothy T Tadder, FNP

  • Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1700075926
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001129999 Issued in VA
Practice address
1168 First Colonial Rd
Virginia Beach, VA 23454-2426
Phone
(757) 352-2030
Fax
(757) 352-2031
NPI assigned
Oct 24, 2007
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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 0001129999 VA Primary

Addresses

Primary practice location

1168 First Colonial Rd
Virginia Beach, VA 23454-2426

Mailing address

3241 Western Branch Blvd
Chesapeake, VA 23321-5260
Phone (757) 686-3508

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
I20080513000215 VA Practitioner - Nurse Practitioner 3678642980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minor Emergency and Family Care CenterGroup PAC ID 4688852395, 2 clinicians

Practice addresses (Care Compare)

1368 N Great Neck Rd
Virginia Beach, VA 23454-2230
Phone (757) 412-0006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001129999VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minor Emergency and Family Care Center CurrentSince May 1, 2013 Accepting new patients
Comprehensive Medical Center I Inc PastSince May 1, 2013 Accepting new patients

Locations

1368 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 412-0006

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3256/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1700075926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 WESTERN BRANCH BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215260",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542426",
            "telephone_number": "757-352-2030",
            "fax_number": "757-352-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDER",
        "first_name": "DOROTHY",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001129999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.