Individual provider Active NPI

Virginia H Watkins, FNP

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1962635748
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024168440 Issued in VA
Practice address
11011 W Broad St
Glen Allen, VA 23060-5937
Phone
(804) 662-2220
Fax
(866) 308-0519
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 0024168440 VA Primary

Addresses

Primary practice location

11011 W Broad St
Glen Allen, VA 23060-5937

Mailing address

11011 W Broad St
Glen Allen, VA 23060-5937
Phone (804) 662-2220

Other names 1

  • Ms. Virginia R Henley Former name

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evernorth Direct Health LLC CurrentSince Apr 9, 2024 Accepting new patients
Connecticut General Life Insurance Company (Cglic) Past Accepting new patients

Locations

11011 W Broad St
Glen Allen, VA 23060
Phone (804) 662-2220

Interoperability endpoints

  • Direct secure messaging: vwatkins10742@evernorth.direct-ci.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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1962635748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 W BROAD ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605937",
            "telephone_number": "804-662-2220",
            "fax_number": "866-308-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 W BROAD ST",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605937",
            "telephone_number": "804-662-2220",
            "fax_number": "866-308-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "VIRGINIA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "HENLEY",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.