Individual provider Active NPI

Hima Sheth

  • Family Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1043956188
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184295 Issued in VA
Practice address
1106 Agee Ter
Midlothian, VA 23114-4664
Phone
(720) 401-6295
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184295 VA Primary

Addresses

Primary practice location

1106 Agee Ter
Midlothian, VA 23114-4664

Mailing address

1106 Agee Ter
Midlothian, VA 23114-4664
Phone (720) 401-6295

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
I20230131003732 VA Practitioner - Nurse Practitioner 1658742598 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
Group practices
GMGP Health Group LLCGroup PAC ID 9436561800, 13 clinicians

Practice addresses (Care Compare)

95 Medical Park Blvd
Petersburg, VA 23805-9280
Phone (336) 816-2589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
GMGP Health Group LLC CurrentSince Jun 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

95 Medical Park Blvd
Petersburg, VA 23805
Phone (336) 816-2589

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Interoperability endpoints

  • Direct secure messaging: hsheth1671998@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1043956188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 AGEE TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144664",
            "telephone_number": "720-401-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 AGEE TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144664",
            "telephone_number": "720-401-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "HIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.