Active NPI
Lakisha Nakita Swindell-Glenn, FNP
- Family Nurse Practitioner
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180007
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 534-6190
- NPI assigned
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001204598 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024180007 | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other practice location 1
4000 Coliseum Dr Ste 300
Hampton, VA 23666-5974
Phone (757) 457-5100
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
860 Omni Blvd
Suite 107
Newport News, VA 23606-4430
Phone (757) 873-2562
Hospital & facility affiliations
- Sentara Careplex Hospital
- Bon Secours Maryview Medical Center
- Riverside Regional Medical Center
- Sentara Obici Hospital
- Sentara Williamsburg Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Current | Accepting new patients |
Locations
860 Omni Blvd
Ste 128
Newport News, VA 23606
860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138
860 Omni Blvd
Ste 107
Newport News, VA 23606
Phone (757) 873-2562
827 Diligence Dr
Ste 100
Newport News, VA 23606
704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300
729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
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.
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
- General Acute Care Hospital
- Hampton, VA
- NPI 1336109107
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1811404122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-534-6190"
}
],
"practiceLocations": [
{
"address_1": "4000 Coliseum Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236665974",
"country_code": "US",
"telephone_number": "757-457-5100",
"fax_number": "757-224-1799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWINDELL-GLENN",
"first_name": "LAKISHA",
"middle_name": "NAKITA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001204598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.