Individual provider Active NPI

Pamela Shipp, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mechanicsville, VA
National Provider Identifier
1023709078
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024187170 Issued in VA
Practice address
7507 Washington Arch Dr
Mechanicsville, VA 23111-4724
Phone
(804) 214-6460
Fax
(804) 800-4060
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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 0024187170 VA Primary

Addresses

Primary practice location

7507 Washington Arch Dr
Mechanicsville, VA 23111-4724

Mailing address

7507 Washington Arch Dr
Mechanicsville, VA 23111-4724
Phone (804) 214-6460

Other practice location 1

8639 Mayland Dr Ste 106B
Henrico, VA 23294-4752
Phone (804) 214-6460

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
I20230807000111 VA Practitioner - Nurse Practitioner 3678934767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unique Holistic Care LLCGroup PAC ID 5991084980, 8 clinicians

Practice addresses (Care Compare)

4901 Fitzhugh Ave
Suite 200
Richmond, VA 23230-3531
Phone (804) 464-8340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024187170VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc CurrentSince Aug 2, 2023 Accepting new patients
Unique Holistic Care LLC Psychiatric/Mental Health CurrentSince Jan 6, 2026 Accepting new patients
Vaught Christian Counseling PC Past Accepting new patients

Locations

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

4901 Fitzhugh Ave
Ste 200
Richmond, VA 23230
Phone (804) 213-0140

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1023709078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 WASHINGTON ARCH DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114724",
            "telephone_number": "804-214-6460",
            "fax_number": "804-800-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 WASHINGTON ARCH DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114724",
            "telephone_number": "804-214-6460",
            "fax_number": "804-800-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8639 Mayland Dr Ste 106B",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232944752",
            "country_code": "US",
            "telephone_number": "804-214-6460",
            "fax_number": "804-800-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "PAMELA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024187170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.