Active NPI
Patricia L McNulty, MD
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1710149018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101245060
- Practice address
- 1168 First Colonial Rd
Virginia Beach, VA 23454-2444 - Phone
- (757) 352-2030
- Fax
- (757) 352-2031
- NPI assigned
- Jun 27, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101245060 | VA | Primary |
Addresses
Primary practice location
1168 First Colonial Rd
Virginia Beach, VA 23454-2444
Mailing address
1168 First Colonial Rd
Virginia Beach, VA 23454-2444
Phone (757) 352-2030
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101245060 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1710149018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 FIRST COLONIAL RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542444",
"telephone_number": "757-352-2030",
"fax_number": "757-352-2031"
},
{
"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": "234542444",
"telephone_number": "757-352-2030",
"fax_number": "757-352-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101245060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.