Active NPI
Renewed Minds Healthcare LLC
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1003637786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RENEWED MINDS HEALTHCARE LLC
- Practice address
- 1728 Virginia Beach Blvd
Suite 114
Virginia Beach, VA 23454 - Phone
- (757) 546-4494
- NPI assigned
- Oct 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Juanita Parker, NP
- Title
- Nurse Practitioner
- Phone
- (757) 546-4494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1728 Virginia Beach Blvd
Suite 114
Virginia Beach, VA 23454
Mailing address
904 Riley Dr
Chesapeake, VA 23322-7420
Phone (803) 466-2414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@renewedminds.health | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1114440484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1003637786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 RILEY DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233227420",
"telephone_number": "803-466-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 VIRGINIA BEACH BLVD",
"address_2": "SUITE 114",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23454",
"telephone_number": "757-546-4494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED MINDS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-24",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "757-546-4494",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@renewedminds.health",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3419 Virginia Beach Blvd # 568",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234524419",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.