Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desiree Raquel Outlaw, NP

Individual provider Family Nurse Practitioner · NPI 1790051910

Desiree Raquel Outlaw, NP is a Nurse Practitioner in Hampton, Virginia. Qualified in 2012, 14 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
14
Licensed in
NY, VA
In the registry since
2012
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1328 E Pembroke Ave
Hampton, VA 23669-2445
Phone: (757) 379-1660
Fax: (855) 679-9729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3509 Chestnut Ave, Newport News, VA 23607-3201 — (757) 271-4090

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024178891 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 337212 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1292471 (VA)

Record details

NPI number1790051910
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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