Individual provider Active NPI

Catherine Michelle Podesta, NP

  • Acute Care Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1750894945
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024175642 Issued in VA
Practice address
1060 First Colonial Rd FL 1
Virginia Beach, VA 23454-3002
Phone
(757) 395-6116
Fax
(757) 395-1339
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001185554 VA
Nurse Practitioner 363L00000X 0024175642 VA
Adult Health Nurse Practitioner 363LA2200X 0024175642 VA
Gerontology Nurse Practitioner 363LG0600X 0024175642 VA
Acute Care Nurse Practitioner 363LA2100X 0024175642 VA Primary

Addresses

Primary practice location

1060 First Colonial Rd FL 1
Virginia Beach, VA 23454-3002

Mailing address

1060 First Colonial Rd FL 1
Virginia Beach, VA 23454-3002
Phone (757) 395-6116

Other practice location 1

1008 First Colonial Rd Ste 103
Virginia Beach, VA 23454-3071
Phone (757) 481-2515

Other practice location 2

1060 First Colonial Rd Fl 1
Virginia Beach, VA 23454-3002
Phone (757) 395-6116

Other practice location 3

1060 First Colonial Rd Fl 1
Virginia Beach, VA 23454-3002
Phone (757) 395-6116

Other names 1

  • Catherine Michelle Tillery Former name

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
I20180131002247 VA Practitioner - Nurse Practitioner 6901166487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
1St
Virginia Beach, VA 23454-3002
Phone (757) 395-6116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001185554VAMDRegistered Nurse
0024175642VAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Jan 1, 2018 Accepting new patients
Sentara Medical Group CurrentSince Jun 8, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Jan 1, 2018 Accepting new patients
Sentara Medical Group Past Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

600 Gresham Dr
#7
Norfolk, VA 23507

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1060 First Colonial Rd
Fl 1
Virginia Beach, VA 23454
Phone (757) 395-2323

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

1008 First Colonial Rd
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-2515

Interoperability endpoints

  • Direct secure messaging: ctillery287413@direct.sentara.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1750894945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL RD FL 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002",
            "telephone_number": "757-395-6116",
            "fax_number": "757-395-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FIRST COLONIAL RD FL 1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543002",
            "telephone_number": "757-395-6116",
            "fax_number": "757-395-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 First Colonial Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543071",
            "country_code": "US",
            "telephone_number": "757-481-2515",
            "fax_number": "757-481-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 First Colonial Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543002",
            "country_code": "US",
            "telephone_number": "757-395-6116",
            "fax_number": "757-395-1339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 First Colonial Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543002",
            "country_code": "US",
            "telephone_number": "757-395-6116",
            "fax_number": "757-395-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODESTA",
        "first_name": "CATHERINE",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001185554",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175642",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024175642",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024175642",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "TILLERY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.