Individual provider Active NPI

Tanita Sweat, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1720572357
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024176357 Issued in VA
Practice address
2412 E Virginia Beach Blvd
Norfolk, VA 23504-3665
Phone
(757) 937-8173
Fax
(757) 937-8308
NPI assigned
Jun 18, 2018
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1130565 KY
Family Nurse Practitioner 363LF0000X 0024176357 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021102568 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018833 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176357 VA Primary

Addresses

Primary practice location

2412 E Virginia Beach Blvd
Norfolk, VA 23504-3665

Mailing address

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (704) 727-7008

Other practice location 1

999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone (704) 727-7008

Other practice location 2

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone (704) 727-7008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20200625001850 VA Practitioner - Nurse Practitioner 9335561000 Reassigns benefits to 2 organizations
I20250820004832 NC Practitioner - Nurse Practitioner 9335561000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Liberty Univ College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (704) 727-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1130565KYMDFamily Nurse Practitioner
0024176357VAMDFamily Nurse Practitioner
5018833NCMDPsychiatric/Mental Health Nurse Practitioner
2021102568VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Balanced Solutions Psychiatric/Mental Health CurrentSince Jan 27, 2024 Accepting new patients
Charis Mental Health, PLLC Family CurrentSince Jul 15, 2020 Accepting new patients

Locations

2015 Ayrsley Town Blvd
Ste 202
Charlotte, NC 28273
Phone (704) 727-7008

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3710

2470 Pruden Blvd
Suffolk, VA 23434
Phone (757) 539-1503

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1720572357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-727-7008",
            "fax_number": "704-774-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E VIRGINIA BEACH BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043665",
            "telephone_number": "757-937-8173",
            "fax_number": "757-937-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Waterside Dr Ste 2525",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235103316",
            "country_code": "US",
            "telephone_number": "704-727-7008",
            "fax_number": "704-774-6922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Ayrsley Town Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282734068",
            "country_code": "US",
            "telephone_number": "704-727-7008",
            "fax_number": "704-774-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEAT",
        "first_name": "TANITA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1130565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "2021102568",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018833",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.