Active NPI
Catherine Michelle Podesta, NP
- Acute Care Nurse Practitioner
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024175642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001185554 | VA | MD | Registered Nurse |
| 0024175642 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Bayview Physician Services, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Virginia Beach, VA
- NPI 1770886525
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.