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

Rebecca Antwi-Kisseadoo, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962240796

Rebecca Antwi-Kisseadoo, NP is a Nurse Practitioner in Suffolk, Virginia. Qualified in 2024, 2 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
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

263 Purple Martin Ln
Suffolk, VA 23435-3329
Phone: (804) 497-9795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11818 Rock Landing Dr Ste 101, Newport News, VA 23606-4394 — (757) 595-3900

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024190773 (VA)

Record details

NPI number1962240796
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Suffolk