Individual provider Active NPI

Keonte A Fisher, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1881039675
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170695 Issued in VA
Practice address
440 Monticello Ave Ste 1870
Norfolk, VA 23510-2673
Phone
(757) 347-2462
Fax
(757) 209-5601
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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 0024170695 VA Primary

Addresses

Primary practice location

440 Monticello Ave Ste 1870
Norfolk, VA 23510-2673

Mailing address

440 Monticello Ave Ste 1870
Norfolk, VA 23510-2673
Phone (757) 347-2462

Other identifiers 8

IdentifierTypeStateIssuer
-022OtherVATRICARE/CHAMPUS
PAROtherVACORVEL
1881039675MedicaidVA
1881039675OtherVAVIRGINIA PREMIER HEALTH PLAN
PAROtherVAUSA MANAGED CARE
PAROtherVAMULTIPLAN
10111665NOtherVAOPTIMA HEALTH
1881039675MedicaidNC

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
I20251218004395 VA Practitioner - Nurse Practitioner 9436399649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1424 Braden Cres
Norfolk, VA 23502-2109

440 Monticello Ave
Suite 1870
Norfolk, VA 23510-2032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024170695VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Discreet Health LLC Family CurrentSince Sep 29, 2025 Accepting new patients

Locations

440 Monticello Ave
Ste 1870
Norfolk, VA 23510
Phone (757) 347-2462

Interoperability endpoints

  • Direct secure messaging: kfisher20171@carelonhealth.direct-ci.com

Organizations & group practices 1

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1881039675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1870",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102673",
            "telephone_number": "757-347-2462",
            "fax_number": "757-209-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE STE 1870",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102673",
            "telephone_number": "757-347-2462",
            "fax_number": "757-209-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEONTE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-022",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881039675",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH PLAN",
            "identifier": "1881039675",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "10111665N",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881039675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.