NPIMap

Individual provider Active NPI

Chien Chun Doll, FNP-C

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1841669314
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128151 Issued in TX
Practice address
850 Kempsville Rd Ste 200a
Norfolk, VA 23502-3920
Phone
(757) 261-5910
NPI assigned
Sep 15, 2015
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128151 TX Primary

Addresses

Primary practice location

850 Kempsville Rd Ste 200a
Norfolk, VA 23502-3920

Mailing address

40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone (910) 364-0966

Other practice location 1

985 NC 87 South
Cameron, NC 28326
Phone (919) 499-9422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230828003631 GA Practitioner - Nurse Practitioner 9234545138 Reassigns benefits to 1 organization
I20241204001887 VA Practitioner - Nurse Practitioner 9234545138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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)

850 Kempsville Rd
Suite 200a
Norfolk, VA 23502-3920
Phone (757) 261-5910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128151TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Hands Hospice LLC CurrentSince Aug 25, 2024 Accepting new patients
Sentara Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Augusta Medical Care LLC CurrentSince Jun 27, 2023 Accepting new patients
Privia Medical Group, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

1350 Augusta West Pkwy
Augusta, GA 30909
Phone (706) 432-8321

3642 Wheeler Rd
Augusta, GA 30909
Phone (706) 408-5759

7401 Granby St
Norfolk, VA 23505
Phone (757) 355-9925

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

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

850 Kempsville Rd
Ste 200A
Norfolk, VA 23502
Phone (757) 261-5910

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1841669314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AUTUMN FERN TRL",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465155",
            "telephone_number": "910-364-0966",
            "fax_number": "910-814-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-261-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 NC 87 South",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "NC",
            "postal_code": "28326",
            "country_code": "US",
            "telephone_number": "919-499-9422",
            "fax_number": "919-498-6752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLL",
        "first_name": "CHIEN",
        "middle_name": "CHUN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.