Individual provider Active NPI

Bianca Tribley, CPNP

  • Pediatric Neurodevelopmental Disabilities Physician
  • Norfolk, VA
National Provider Identifier
1780142893
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
0024180290 Issued in VA
Practice address
400 Gresham Dr Ste 900
Norfolk, VA 23507-1992
Phone
(757) 668-7473
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X AC002629 MD
Pediatric Nurse Practitioner 363LP0200X AC002629 MD
Pediatric Nurse Practitioner 363LP0200X 0024180290 VA
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 0024180290 VA Primary

Addresses

Primary practice location

400 Gresham Dr Ste 900
Norfolk, VA 23507-1992

Mailing address

400 Gresham Dr Ste 900
Norfolk, VA 23507-1992
Phone (757) 668-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024180290VAMDPediatric Neurodevelopmental Disabilities Physician
AC002629MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Specialty Group PLLC CurrentSince Feb 1, 2022 Accepting new patients
Van Dorn Pediatrics, PC PastSince Jan 1, 2021 Accepting new patients

Locations

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

400 Gresham Dr
Norfolk, VA 23507
Phone (757) 627-7301

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

400 Gresham Dr
Ste 900
Norfolk, VA 23507
Phone (757) 668-7473

5834 Harbour View Blvd
Suffolk, VA 23435
Phone (757) 668-4570

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1780142893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 900",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071992",
            "telephone_number": "757-668-7473",
            "fax_number": "757-668-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR STE 900",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071992",
            "telephone_number": "757-668-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIBLEY",
        "first_name": "BIANCA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MD",
            "license": "AC002629",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC002629",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024180290",
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "VA",
            "license": "0024180290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.