Individual provider Active NPI

Venessa A Coake, FNP-C

  • Family Nurse Practitioner
  • Blacksburg, VA
National Provider Identifier
1952701336
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172413 Issued in VA
Practice address
2600 Research Center Dr Ste a
Blacksburg, VA 24060-6325
Phone
(540) 381-5291
Fax
(540) 381-7857
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 139063 VA
Family Nurse Practitioner 363LF0000X 0024172413 VA Primary

Addresses

Primary practice location

2600 Research Center Dr Ste a
Blacksburg, VA 24060-6325

Mailing address

4942 E Lee Hwy
Max Meadows, VA 24360-3428

Other identifiers 1

IdentifierTypeStateIssuer
1952701336MedicaidVA

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
I20150731014496 VA Practitioner - Nurse Practitioner 1951615202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

101 1St St NW
Suite 2
Pulaski, VA 24301-5605
Phone (540) 980-0550

Hospital & facility affiliations

  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139063VAMDRegistered Nurse
0024172413VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 11, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince May 11, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

101 1st St NW
Ste 2
Pulaski, VA 24301
Phone (540) 577-4882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: venessa.coake.1@8042.direct.athenahealth.com
  • Direct secure messaging: venessa.coake@brcc.ikm.direct-ci.com

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.

Hospital & facility affiliations 3

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1952701336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 E LEE HWY",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243603428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RESEARCH CENTER DR STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606325",
            "telephone_number": "540-381-5291",
            "fax_number": "540-381-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAKE",
        "first_name": "VENESSA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "139063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952701336",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.