Sandra W Nichols, PHD, APRN, PMHNP-BC,

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024171054 Issued in VA

Practice address

4360 Shore Dr Ste 101
Virginia Beach, VA 23455-2994

Phone

(757) 251-0879

Fax

(984) 220-9437

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 11

Addresses

Other names 1

• Sandra L Walker Former name

Medicare fee-for-service enrollment

Enrolled in FL, TN, AZ, NC, VA5 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 5

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Your Nurse Practitioner PLLCGroup PAC ID 7113329517, 8 clinicians

Summit Healthcare Medical AssociatesGroup PAC ID 8729205737, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6887/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Your Nurse Practitioner PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1801489711

  AZ, Family, FL, NC

  Medicare reassignment Care Compare group NPD Authorized official
• Summit Healthcare Medical Associates

  • Family Medicine Physician
  • Show Low, AZ
  • NPI 1467878108

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mid-Atlantic Post Acute & Long Term Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225557556

  Family

  Medicare reassignment NPD
• Ocean Psychiatric Group PC

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1205270147

  Family

  Medicare reassignment NPD
• Riverside Physician Services Inc

  • Gastroenterology Physician
  • Newport News, VA
  • NPI 1194929026
  Medicare reassignment NPD
• SE Virginia Value Based Care, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225720501
  Medicare reassignment NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  Medicare reassignment NPD
• Nes Arizona Inc

  • Emergency Medicine Physician
  • Benson, AZ
  • NPI 1205217700
  Medicare reassignment NPD
• Swain Integrated Services, PC

  • Emergency Medicine Physician
  • Bryson City, NC
  • NPI 1043752363

  Nurse Practitioner

  Medicare reassignment NPD
• Riverside Physician Services Inc

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1083867311
  NPD
• Riverside Physician Services, Inc.

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1710020623
  NPD
• Dream Team Wellness LLC

  • Primary Care Clinic/Center
  • Tallahassee, FL
  • NPI 1285311431
  NPD

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1770749202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 SHORE DR STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552994",
            "telephone_number": "757-251-0879",
            "fax_number": "984-220-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 SHORE DR STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552994",
            "telephone_number": "757-251-0879",
            "fax_number": "984-220-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 E Joy Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864268807",
            "country_code": "US",
            "telephone_number": "757-251-0879",
            "fax_number": "984-220-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "857 E PARK AVE",
            "address_purpose": "LOCATION",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012620",
            "country_code": "US",
            "telephone_number": "757-251-0879",
            "fax_number": "984-220-9437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SANDRA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, PMHNP-BC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024171054",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171054",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10570",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9241995",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9241995",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "184239",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "184239",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10570",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004963",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "WALKER",
            "middle_name": "L",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Christopher Nicholas, DPM
• Tamara Nichols-Barba
• Deion Nichols
• Jayla Nichols
• Nickolas Scott Nichols, LMFT
• Shanta Nichols
• Jayla A Nicholson
• Shadesia Nicholson, FNP-C
• Tad Nickerson, ATC
• Elizabeth Marie Nicklaus, CPO

• Psychiatric/Mental Health Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.