Individual provider Active NPI

Chanda Danielle Harris, FNP

  • Family Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1942827787
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179384 Issued in VA
Practice address
601 Old Wagner Rd Ste 103
Petersburg, VA 23805-9313
Phone
(804) 526-3821
Fax
(804) 526-6065
NPI assigned
Jun 27, 2020
Last updated
May 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 0024179384 VA Primary

Addresses

Primary practice location

601 Old Wagner Rd Ste 103
Petersburg, VA 23805-9313

Mailing address

11401 Weeping Cherry LN
Moseley, VA 23120-1566
Phone (516) 509-0553

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
I20201130000926 VA Practitioner - Nurse Practitioner 8628489473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Old Wagner Rd
Suite 103
Petersburg, VA 23805-9313
Phone (804) 526-3821

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179384VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Family Care PLLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

601 Old Wagner Rd
Ste 103
Petersburg, VA 23805
Phone (804) 526-3821

16021 Kairos Rd
Ste A
South Chesterfield, VA 23834
Phone (804) 526-3821

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1942827787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 WEEPING CHERRY LN",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201566",
            "telephone_number": "516-509-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD STE 103",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-526-3821",
            "fax_number": "804-526-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHANDA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.