Individual provider Active NPI

Courtney Danielle Stephenson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1871374637
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187895 Issued in VA
Practice address
11745 Jefferson Ave Ste 10B
Newport News, VA 23606-4418
Phone
(833) 510-4357
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187895 VA Primary

Addresses

Primary practice location

11745 Jefferson Ave Ste 10B
Newport News, VA 23606-4418

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

11847 Canon Blvd Ste 11B
Newport News, VA 23606-4579
Phone (757) 598-1563

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
I20241115002156 VA Practitioner - Nurse Practitioner 9537693304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

101 N Lynnhaven Rd
Suite 100
Virginia Beach, VA 23452-7523
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Mar 31, 2025 Accepting new patients
Brightview LLC CurrentSince Mar 31, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Oct 1, 2024 Accepting new patients
Hampton Newport News Community Services Board CurrentSince Feb 3, 2026 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400

209 Research Dr
Ste 102
Chesapeake, VA 23320

480 Mount Cross Rd
Danville, VA 24540

5610 Southpoint Centre Blvd
Fredericksburg, VA 22407
Phone (540) 207-5288

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

400 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0400

16 Pleasant Hill Rd
Harrisonburg, VA 22801
Phone (419) 546-0788

3704 Old Forest Rd
Lynchburg, VA 24501

1836 Virginia Ave
Martinsville, VA 24112
Phone (419) 580-1305

5001 W Village Green Dr
Ste 205
Midlothian, VA 23112
Phone (804) 744-6700

860 Omni Blvd
Ste 401
Newport News, VA 23606
Phone (757) 232-8764

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

827 Diligence Dr
Ste 100
Newport News, VA 23606

11818 Rock Landing Dr
Ste 101
Newport News, VA 23606
Phone (757) 595-3900

5357 Henneman Dr
Norfolk, VA 23513
Phone (757) 855-9700

4140 Crossings Ct
Ste 101103
Prince George, VA 23875
Phone (757) 695-9406

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

2790 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-3700

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

200 Faraday Plz
Winchester, VA 22603
Phone (724) 466-2434

4899 Prince William Pkwy
Woodbridge, VA 22192

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1871374637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 JEFFERSON AVE STE 10B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064418",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11847 Canon Blvd Ste 11B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064579",
            "country_code": "US",
            "telephone_number": "757-598-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.