Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Supatha Kimble Peters, FNP-C

Individual provider Family Nurse Practitioner · NPI 1861984445

Supatha Kimble Peters, FNP-C is a Nurse Practitioner in Fort Eustis, Virginia. Qualified in 2017, 9 years ago. Practices with Roanoke Valley Healthcare Partners LLC, a 56-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

576 Jefferson Ave
Fort Eustis, VA 23604-1373
Phone: (757) 314-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 — (762) 408-2273
  • 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 — (808) 433-6661
  • 1320 Lasalle Ave, Hampton, VA 23669-3801 — (757) 727-2577
  • 24 S Adams St, Petersburg, VA 23803-4525 — (804) 732-2180
  • 24 S Adams St, Petersburg, VA 23803-4525 — (804) 732-2180

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024175296 (VA)

Record details

NPI number1861984445
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Roanoke Valley Healthcare Partners Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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