Healthcare Provider Details

I. General information

NPI: 1790159481
Provider Name (Legal Business Name): MEGAN ASHLEY BURKART SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 ROCK LANDING DR
NEWPORT NEWS VA
23606-4204
US

IV. Provider business mailing address

11760 ROCK LANDING DR
NEWPORT NEWS VA
23606-4204
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-6300
  • Fax: 757-668-6310
Mailing address:
  • Phone: 757-668-6300
  • Fax: 757-668-6310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024173319
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001209340
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: