Individual provider Active NPI

Robert Bruce Conway, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1942922604
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024185274 Issued in VA
Practice address
700 Tech Center Pkwy Ste 200-87
Newport News, VA 23606-3075
Phone
(757) 377-5559
Fax
(757) 377-5559
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185274 VA Primary

Addresses

Primary practice location

700 Tech Center Pkwy Ste 200-87
Newport News, VA 23606-3075

Mailing address

700 Tech Center Pkwy Ste 200-87
Newport News, VA 23606-3075
Phone (757) 377-5559

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
I20221114001747 VA Practitioner - Nurse Practitioner 3173990652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Child and Adolescent Psychiatry PLLC CurrentSince Feb 23, 2025 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

700 Tech Center Pkwy
Ste 20087
Newport News, VA 23606
Phone (757) 377-5559

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

Interoperability endpoints

  • Direct secure messaging: robert.conway.1@33005.direct.athenahealth.com

Organizations & group practices 2

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1942922604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TECH CENTER PKWY STE 200-87",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063075",
            "telephone_number": "757-377-5559",
            "fax_number": "757-734-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TECH CENTER PKWY STE 200-87",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236063075",
            "telephone_number": "757-377-5559",
            "fax_number": "757-377-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.