Individual provider Active NPI

Tatiana Goedelieve Nieuwenhuys, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1831670181
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188081 Issued in VA
Practice address
301 Riverview Ave Ste 930
Norfolk, VA 23510-1068
Phone
(757) 252-3236
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11769 AZ
Family Nurse Practitioner 363LF0000X RN216301 AZ
Family Nurse Practitioner 363LF0000X 0024188081 VA Primary

Addresses

Primary practice location

301 Riverview Ave Ste 930
Norfolk, VA 23510-1068

Mailing address

301 Riverview Ave Ste 930
Norfolk, VA 23510-1068
Phone (757) 252-3236

Other identifiers 1

IdentifierTypeStateIssuer
434532MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181102000432 AZ Practitioner - Nurse Practitioner 1951654284 Reassigns benefits to 1 organization
I20231130003102 VA Practitioner - Nurse Practitioner 1951654284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 930
Norfolk, VA 23510-1068
Phone (757) 252-3236

Hospital & facility affiliations

  • Sentara Homecare Services Home health agency, Chesapeake, VA, CCN 497268
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Oct 1, 2021 Accepting new patients
Arizona Community Physicians PC Nurse Practitioner Current Accepting new patients
Sentara Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

301 Riverview Ave
Ste 930
Norfolk, VA 23510
Phone (757) 252-3236

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • Direct secure messaging: tnieuwenhuys867746@direct.sentara.net

Organizations & group practices 4

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 2

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1831670181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 930",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101068",
            "telephone_number": "757-252-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 930",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101068",
            "telephone_number": "757-252-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEUWENHUYS",
        "first_name": "TATIANA",
        "middle_name": "GOEDELIEVE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11769",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN216301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434532",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.