Individual provider Active NPI

Kathleen Visarraga, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1043095292
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24193997 Issued in VA
Practice address
184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533
Phone
(757) 210-3090
Fax
(757) 210-4480
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 24193997 VA Primary

Addresses

Primary practice location

184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533

Mailing address

184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533
Phone (757) 210-3090

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
I20251202002805 VA Practitioner - Nurse Practitioner 8628561289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11825 Rock Landing Dr
Newport News, VA 23606-4236

312 Cairns Rd
Chesapeake, VA 23322-4470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24193997VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Landing Psychological Group PLC Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients
Western Tidewater Community Mental PastSince Aug 1, 2025 Accepting new patients

Locations

11825 Rock Landing Dr
Newport News, VA 23606
Phone (757) 873-1736

Organizations & group practices 2

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043095292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BUSINESS PARK DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626533",
            "telephone_number": "757-210-3090",
            "fax_number": "757-210-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BUSINESS PARK DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626533",
            "telephone_number": "757-210-3090",
            "fax_number": "757-210-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISARRAGA",
        "first_name": "KATHLEEN",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24193997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.