Individual provider Active NPI

Angela Parham-Jones, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Jarratt, VA
National Provider Identifier
1003672957
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
0001174302 Issued in VA
Practice address
9436 Mayes St Ste 8
Jarratt, VA 23867-9108
Phone
(804) 704-5651
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0001174302 VA Primary

Addresses

Primary practice location

9436 Mayes St Ste 8
Jarratt, VA 23867-9108

Mailing address

9436 Mayes St Ste 8
Jarratt, VA 23867-9108
Phone (804) 704-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001174302VAMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Envision One Mental Health Skill Building, LLC Current Accepting new patients
Envision One Outpatient Services, LLC Current Accepting new patients
Envision One Cultivation & Enrichment Center, Corp CurrentSince Mar 3, 2024 Accepting new patients

Locations

9436 Mayes St
Ste 8
Jarratt, VA 23867
Phone (804) 519-6895

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1003672957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 MAYES ST STE 8",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238679108",
            "telephone_number": "804-704-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 MAYES ST STE 8",
            "city": "JARRATT",
            "state": "VA",
            "postal_code": "238679108",
            "telephone_number": "804-704-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM-JONES",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001174302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarratt, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.