Individual provider Active NPI

Maria Realean Delossantos, FNP

  • Family Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1891570164
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187780 Issued in VA
Practice address
3412 Laroux Ave
North Chesterfield, VA 23237-1998
Phone
(434) 738-3360
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0024187780 VA Primary

Addresses

Primary practice location

3412 Laroux Ave
North Chesterfield, VA 23237-1998

Mailing address

3412 Laroux Ave
North Chesterfield, VA 23237-1998
Phone (434) 738-3360

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of VA LLC Family CurrentSince Jan 8, 2024 Accepting new patients

Locations

10800 Iron Bridge Rd
Chester, VA 23831
Phone (804) 318-5580

9351 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 417-1595

7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891570164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 LAROUX AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371998",
            "telephone_number": "434-738-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 LAROUX AVE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232371998",
            "telephone_number": "434-738-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOSSANTOS",
        "first_name": "MARIA",
        "middle_name": "REALEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.