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OLD DOMINION UNIVERSITY
NPI 1548966575
Nurse Practitioner - Family in Virginia Beach, VA

Active since February 01, 2023CLIA 49D2278408 · Waiver
1881 UNIVERSITY DRIVE, SCHOOL OF NURSING, VIRGINIA BEACH, VA 23453(757) 683-4390 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Dominion University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD DOMINION UNIVERSITY (NPI 1548966575), doing business as Old Dominion University Community Care, is a healthcare organization registered as a family in Virginia Beach, Virginia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Tammy Speerhas, Director Of Odu Community Care, as its authorized official.

NPPES Registry Identity

NPI1548966575
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOLD DOMINION UNIVERSITY
Location Address1881 UNIVERSITY DRIVE, SCHOOL OF NURSINGVirginia Beach, VA 23453
Mailing Address1881 University Drive, School Of NursingVirginia Beach, VA 23453 · (757) 683-4390
Phone(757) 683-4390
Organization SubpartYes
Authorized OfficialTammy SpeerhasDirector Of Odu Community Care · (757) 683-4390
Enumeration DateFebruary 1, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1548966575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1881 UNIVERSITY DRIVE, Virginia Beach, VA 23453
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Other Names 1

Doing Business AsOld Dominion University Community Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2278408

Old Dominion University Community Care · Virginia Beach, VA
Active · expires Mar 15, 2027
CLIA Number49D2278408
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorTammy L. Speerhas
Laboratory Phone(757) 683-4390
Laboratory LocationOld Dominion University Community Care1881 University Drive, Virginia Beach, VA 23453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Dominion University's NPI number?

The NPI number for Old Dominion University is 1548966575. It was assigned to this organization in the NPPES registry on February 1, 2023. The provider is doing business as Old Dominion University Community Care.

Where is Old Dominion University located?

Old Dominion University is located at 1881 University Drive School Of Nursing, Virginia Beach, VA 23453. The listed phone number is (757) 683-4390.

What is Old Dominion University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Old Dominion University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2278408) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Old Dominion University was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.