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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANNER PAVELKA NP
NPI 1659233955
Nurse Practitioner - Psychiatric/Mental Health in Portsmouth, VA

Active since November 25, 2025
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(704) 689-5482 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, Nov 25, 2025 (2 updates tracked since 2025).

About Tanner Pavelka Np NPPES

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

TANNER PAVELKA NP (NPI 1659233955) is an individual psychiatric/mental health provider in Portsmouth, Virginia, licensed in California (95036682) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1659233955
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTANNER PAVELKACredential: NP
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (704) 689-5482
Phone(704) 689-5482
Sole ProprietorYes
Enumeration DateNovember 25, 2025
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1659233955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95036682
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
DR. DANIEL VERNON UNGER M.D.
Orthopaedic Surgery
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1888

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 Tanner Pavelka's NPI number?

The NPI number for Tanner Pavelka is 1659233955. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Where is Tanner Pavelka located?

Tanner Pavelka practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (704) 689-5482.

What is Tanner Pavelka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tanner Pavelka was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.