SHAPING YOUR FUTURE PSYCHIATRY (NPI# 1679185573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679185573 |
| Entity Type | Organization |
| Organization Name | SHAPING YOUR FUTURE PSYCHIATRY |
| Practice Address |
1534 Bateau Lndg Chesapeake VA 23321-6603 |
| Mailing Address |
1508 Sams Cir Ste 102 Chesapeake VA 23320-4589 |
| Practice Telephone | 7576733780 |
| Mailing Telephone | 7575282850 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | TRISHA NARDIA PARKER (CEO) |
| Authorized Official Telephone | 7575282850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1534 BATEAU LNDG |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356993448 | Edith Kathleen Jones | Nurse Practitioner | 1109 Norcova Ct, Chesapeake, VA 23320-5013 | 2019-07-10 |
| 1750943817 | Shenell Dominique Graham | Nurse Practitioner | 640 Independence Pkwy # 200, Chesapeake, VA 23320-5205 | 2019-06-28 |
| 1427525294 | Alpha Psychiatric Services, LLC | Nurse Practitioner | 2005 Old Greenbrier Rd Ste 104, Chesapeake, VA 23320-2649 | 2018-10-30 |
| 1396112538 | Thomas Kannon | Nurse Practitioner | 828 Greenbrier Pkwy Ste 210, Chesapeake, VA 23320-3684 | 2015-08-24 |
| 1558929190 | Katlyn B Tillett | Nurse Practitioner | 640 Independence Pkwy Ste 100, Chesapeake, VA 23320-5205 | 2019-05-29 |
| 1114354636 | Shayne O'neal Morris | Nurse Practitioner | 860 Greenbrier Cir, Suite 100, Chesapeake, VA 23320-2640 | 2013-09-29 |
| 1457695173 | Samuel Isaac Harris | Nurse Practitioner | 1417 Battlefield Blvd N Ste 260, Chesapeake, VA 23320 | 2012-11-19 |
| 1720342272 | Craig Allen Tyson Sr. | Nurse Practitioner | 860 Greenbrier Cir, Suite 100, Chesapeake, VA 23320-2640 | 2012-06-29 |
| 1093013641 | Justin T Ray | Nurse Practitioner | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2011-03-07 |
| 1992956171 | Sherry Hall | Nurse Practitioner | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2008-10-06 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on SHAPING YOUR FUTURE PSYCHIATRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.