Individual provider Active NPI

Tammy L Speerhas, FNP-C

  • Family Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1780944173
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172501 Issued in VA
Practice address
817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone
(757) 668-4630
Fax
(757) 668-4635
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN562554 PA
Family Nurse Practitioner 363LF0000X 0024172501 VA Primary

Addresses

Primary practice location

817 Volvo Pkwy
Chesapeake, VA 23320-2855

Mailing address

817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630

Other practice location 1

680 Oyster Point Rd
Newport News, VA 23606-4570
Phone (757) 668-4851

Other practice location 2

3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Phone (757) 668-4648

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
I20160119002811 VA Practitioner - Nurse Practitioner 1557518644 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN562554PAMDRegistered Nurse
0024172501VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Dominion University Family Current Accepting new patients
Childrens Hospital of the Kings Daughters Inc CurrentSince Nov 3, 2015 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Jul 1, 2016 Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Family CurrentSince May 4, 2021 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

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

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

3960 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 668-4648

1924 Landstown Centre Way
Ste 103
Virginia Beach, VA 23456

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

Interoperability endpoints

  • Direct secure messaging: tammy.speerhas.1@29402.direct.athenahealth.com

Organizations & group practices 5

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1780944173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202855",
            "telephone_number": "757-668-4630",
            "fax_number": "757-668-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 VOLVO PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202855",
            "telephone_number": "757-668-4630",
            "fax_number": "757-668-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Oyster Point Rd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064570",
            "country_code": "US",
            "telephone_number": "757-668-4851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234522449",
            "country_code": "US",
            "telephone_number": "757-668-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEERHAS",
        "first_name": "TAMMY",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN562554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.