Healthcare Provider Details

I. General information

NPI: 1003720061
Provider Name (Legal Business Name): DIPTI THAPALIYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2984 SHORE DR UNIT 301
VIRGINIA BEACH VA
23451-1473
US

IV. Provider business mailing address

2984 SHORE DR UNIT 301
VIRGINIA BEACH VA
23451-1473
US

V. Phone/Fax

Practice location:
  • Phone: 646-715-2599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0001298869
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: