Chanell Tynealia Dorris, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175563 Issued in VA

Practice address

1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437

Phone

(757) 425-1600

NPI assigned

Oct 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584
  Medicare reassignment Care Compare group
• Mid-Atlantic Womens Care PLC

  • Obstetrics & Gynecology Physician
  • Virginia Beach, VA
  • NPI 1699365072
  Medicare reassignment NPD
• Optima Health Plan

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1396466066
  Medicare reassignment NPD
• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment NPD
• Vibrance Health Services PLLC

  • Health Service Clinic/Center
  • Virginia Beach, VA
  • NPI 1366298952
  NPD Authorized official
• Sentara Medical Group

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1245357920
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1740791078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 CAPE HENRY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132411",
            "telephone_number": "267-694-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 FIRST COLONIAL RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542437",
            "telephone_number": "757-425-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORRIS",
        "first_name": "CHANELL",
        "middle_name": "TYNEALIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001243523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jo Dore, DPT
• Virginia Ann Doren
• Darren Dorfman, DDS
• Howard Stanley Dorfman, DMD
• Kali Ever Dorland
• Laura A Dorris, LPC
• Theodore A Dorsay, MD
• Kristl Vidya Dorschner Tomlin, M.D.
• Frances Dorsey, LCSW
• Taylor McKenzie Dorsey

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.