| Chanell Tynealia Dorris, FNP-C | |
| 
					1181 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2437  | |
| (757) 425-1600 | |
| Not Available | 
| Full Name | Chanell Tynealia Dorris | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1181 First Colonial Rd Ste 200, Virginia Beach, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740791078 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001243523 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024175563 (Virginia) | Primary | 
| Entity Name | Sentara Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466  | 
| Entity Name | Mid-atlantic Womens Care Plc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699365072 PECOS PAC ID: 8820998156 Enrollment ID: O20040115000607  | 
| Entity Name | Mid-atlantic Womens Care Plc | 
|---|---|
| Entity Type | Part B Supplier - Mammography Center | 
| Entity Identifiers | NPI Number: 1699365072 PECOS PAC ID: 8820998156 Enrollment ID: O20080611000246  | 
| Entity Name | Optima Health Plan | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396466066 PECOS PAC ID: 1658736186 Enrollment ID: O20230504003199  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chanell Tynealia Dorris, FNP-C 5448 Cape Henry Ave, Norfolk, VA 23513-2411 Ph: (267) 694-0554  | Chanell Tynealia Dorris, FNP-C 1181 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2437 Ph: (757) 425-1600  | 
Dr. Ameanthea Rica Blanco-knezovich, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Diamond Springs Rd, Ste 503, Virginia Beach, VA 23455 Phone: 757-656-1665  | |
Clotilde Jorgina Ramos, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456 Phone: 757-507-1000  | |
Dr. Mary Heath Conner, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2624 Southern Blvd Ste 102, Virginia Beach, VA 23452 Phone: 757-453-1256 Fax: 319-359-3813  | |
Tonja Marie Devolgado, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456 Phone: 757-507-8850  | |
Andrew Paul Leisring, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5500 Magnolia Run Cir Apt 107, Virginia Beach, VA 23464 Phone: 513-373-6017  | |
Rebekah Harriet Camerino,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 First Colonial Rd Ste 204, Virginia Beach, VA 23454 Phone: 757-363-8212  | |
Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411  |