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

Tanika Janae Keagle, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1265249916

Tanika Janae Keagle, AGPCNP is a Nurse Practitioner in Norfolk, Virginia. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Virginia.

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

Practice location Address checks out

721 Fairfax Ave
Norfolk, VA 23507-2007
Phone: (757) 446-7040
Fax: (757) 446-7049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 0024191131 (VA)

Record details

NPI number1265249916
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

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)
Accepts Medicare assignment Not indicated

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