Active NPI
Caleb Philippe, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024189153
- Practice address
- 1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078 - Phone
- (757) 395-1405
- Fax
- (757) 222-5095
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024189153 | VA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11014269 | FL |
Addresses
Primary practice location
1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078
Mailing address
1020 First Colonial Rd Ste B
Virginia Beach, VA 23454-3078
Phone (757) 395-1405
Other practice location 1
10330 Waterside Ct
Parkland, FL 33076-2879
Phone (410) 807-2374
Other practice location 2
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014269 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024189153 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Sentara Medical Group | Past | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
101 Riverfront Blvd
Ste 710
Bradenton, FL 34205
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1881266526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 FIRST COLONIAL RD STE B",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543078",
"telephone_number": "757-395-1405",
"fax_number": "757-222-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 FIRST COLONIAL RD STE B",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543078",
"telephone_number": "757-395-1405",
"fax_number": "757-222-5095"
}
],
"practiceLocations": [
{
"address_1": "10330 Waterside Ct",
"address_purpose": "LOCATION",
"city": "Parkland",
"state": "FL",
"postal_code": "330762879",
"country_code": "US",
"telephone_number": "410-807-2374",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 N 12th Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "FL",
"postal_code": "342668752",
"country_code": "US",
"telephone_number": "863-494-1242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIPPE",
"first_name": "CALEB",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024189153",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11014269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.