Individual provider Active NPI

Jonathan Fielder, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1003691551
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187768 Issued in VA
Practice address
2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone
(804) 303-9622
Fax
(804) 716-4318
NPI assigned
Aug 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024187768 VA Primary

Addresses

Primary practice location

2808 Fox Chase LN
Midlothian, VA 23112-4008

Mailing address

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103000323 VA Practitioner - Nurse Practitioner 1052768660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024187768VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Therapy Services, LLC CurrentSince Aug 23, 2024 Accepting new patients
Insight Physicians PC CurrentSince Oct 1, 2023 Accepting new patients
Zoestyle Medicine PastSince Sep 25, 2022 Accepting new patients

Locations

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

2808 Fox Chase Ln
Midlothian, VA 23112
Phone (804) 303-9622

804 Moorefield Park Dr
Ste 108
North Chesterfield, VA 23236
Phone (804) 323-8282

2810 N Parham Rd
Ste 120
Richmond, VA 23294

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

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": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1003691551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622",
            "fax_number": "804-716-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622",
            "fax_number": "804-716-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDER",
        "first_name": "JONATHAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.