Individual provider Active NPI

Katerina T Basiliadis, FNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1760941587
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177273 Issued in VA
Practice address
5216 Stratford Chase Dr
Virginia Beach, VA 23464-5621
Phone
(682) 597-2846
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177273 VA Primary

Addresses

Primary practice location

5216 Stratford Chase Dr
Virginia Beach, VA 23464-5621

Mailing address

5216 Stratford Chase Dr
Virginia Beach, VA 23464-5621
Phone (682) 597-2846

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
I20190617000838 VA Practitioner - Nurse Practitioner 5294068789 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone (757) 496-1162

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster-Canterbury on Chesapeake Bay CurrentSince Jul 1, 2023 Accepting new patients
Churchland Internal Medicine Associates LTD CurrentSince Apr 1, 2019 Accepting new patients
Westminster-Canterbury on Chesapeake Bay Current Accepting new patients
Mid Atlantic Long Term Care Specialists LLC Family CurrentSince Apr 17, 2023 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince Jul 1, 2023 Accepting new patients

Locations

2994 Churchland Blvd
Chesapeake, VA 23321
Phone (757) 484-0500

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

6401 Auburn Dr
Virginia Beach, VA 23464
Phone (757) 420-1485

1200 Atlantic Shores Dr
Virginia Beach, VA 23454
Phone (757) 716-2000

Interoperability endpoints

  • Direct secure messaging: katerina.basiliadis.1@19582.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19582/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJHIBA

Organizations & group practices 6

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 4

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1760941587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 STRATFORD CHASE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645621",
            "telephone_number": "682-597-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 STRATFORD CHASE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645621",
            "telephone_number": "682-597-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILIADIS",
        "first_name": "KATERINA",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.