Individual provider Active NPI

Vanessa Kanarr, DNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1962949289
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174432 Issued in VA
Practice address
1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone
(757) 252-3050
Fax
(864) 603-5601
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174432 VA Primary
Family Nurse Practitioner 363LF0000X 21913 SC

Addresses

Primary practice location

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884

Mailing address

9 Hawthorne Park CT
Greenville, SC 29615-3194
Phone (864) 603-5600

Other identifiers 1

IdentifierTypeStateIssuer
21913OtherSCSC LICENSE

Other names 1

  • Vanessa Hartmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170505000000 VA Practitioner - Nurse Practitioner 2365729001 Reassigns benefits to 1 organization
I20180806001620 SC Practitioner - Nurse Practitioner 2365729001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Virginia Beach, VA 23464
Phone (757) 252-3050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients

Locations

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

2 Bella Grove Dr
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1300 Sentara Park
#3
Virginia Beach, VA 23464
Phone (757) 252-3050

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.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1962949289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153194",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SENTARA PARK # 3",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645884",
            "telephone_number": "757-252-3050",
            "fax_number": "864-603-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANARR",
        "first_name": "VANESSA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174432",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "21913",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "HARTMANN",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.