Healthcare Provider Details

I. General information

NPI: 1609498310
Provider Name (Legal Business Name): DAVIDA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 COASTAL WAY
CHESAPEAKE VA
23320-4603
US

IV. Provider business mailing address

1425 BATTLEFIELD BLVD N # 1027
CHESAPEAKE VA
23320-4585
US

V. Phone/Fax

Practice location:
  • Phone: 757-609-3115
  • Fax: 757-603-3698
Mailing address:
  • Phone: 757-609-3115
  • Fax: 800-850-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number5009
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number5009
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: