Active NPI
Michelle Tonia Wise, NURSE PRACTITIONER
- Pediatric Nurse Practitioner
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024156324
- Practice address
- 240 S Second St
Hampton, VA 23664-1407 - Phone
- (757) 713-9465
- NPI assigned
- Apr 1, 2006
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0024156324 | VA | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 0024156324 | VA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 0001156324 | VA | |
| Neonatal Nurse Practitioner | 363LN0000X | 0024156324 | VA |
Addresses
Primary practice location
240 S Second St
Hampton, VA 23664-1407
Mailing address
240 S Second St
Hampton, VA 23664-1407
Phone (757) 713-9465
Other practice location 1
680 Oyster Point Rd
Newport News, VA 23606-4570
Phone (757) 668-4851
Other practice location 2
314 Peach Tree Cres
Newport News, VA 23602-7485
Phone (757) 874-2489
Other practice location 3
3960 Virginia Beach Blvd
Virginia Beach, VA 23452-2449
Phone (757) 668-4648
Other practice location 4
817 Volvo Pkwy
Chesapeake, VA 23320-2855
Phone (757) 668-4630
Other practice location 5
4000 Coliseum Dr Ste 280A
Hampton, VA 23666-5974
Phone (757) 827-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1946661466 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001156324 | VA | MD | Lactation Consultant (Registered Nurse) |
| 0024156324 | VA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBS Child Wellness Center | Current | Accepting new patients |
Interoperability endpoints
- michelle.wise.1@6174.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Hampton, VA
- NPI 1023629862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1942261466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S SECOND ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236641407",
"telephone_number": "757-713-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S SECOND ST",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236641407",
"telephone_number": "757-713-9465"
}
],
"practiceLocations": [
{
"address_1": "680 Oyster Point Rd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236064570",
"country_code": "US",
"telephone_number": "757-668-4851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Peach Tree Cres",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236027485",
"country_code": "US",
"telephone_number": "757-874-2489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3960 Virginia Beach Blvd",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234522449",
"country_code": "US",
"telephone_number": "757-668-4648",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 Volvo Pkwy",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233202855",
"country_code": "US",
"telephone_number": "757-668-4630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Coliseum Dr Ste 280A",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236665974",
"country_code": "US",
"telephone_number": "757-827-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISE",
"first_name": "MICHELLE",
"middle_name": "TONIA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "VA",
"license": "0024156324",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "VA",
"license": "0024156324",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VA",
"license": "0001156324",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "VA",
"license": "0024156324",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1946661466",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.