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

Kathleen Bustamante Viado Erezo, FNP

Individual provider Family Nurse Practitioner · NPI 1548505563

Kathleen Bustamante Viado Erezo, FNP is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2012, 14 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1925 Glenn Mitchell Dr Ste 202
Virginia Beach, VA 23456-0177
Phone: (757) 507-0900
Fax: (757) 301-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 855 W Brambleton Ave, Norfolk, VA 23510-1005 — (757) 446-5908

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024170340 (VA)

Record details

NPI number1548505563
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 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
TelehealthOffers telehealth services

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