Individual provider Active NPI

Kanisha Belt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1083288740
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181473 Issued in VA
Practice address
249 Central Park Ave Ste 300-160
Virginia Beach, VA 23462-3099
Phone
(757) 663-7547
Fax
(757) 802-3897
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 0024181473 VA Primary

Addresses

Primary practice location

249 Central Park Ave Ste 300-160
Virginia Beach, VA 23462-3099

Mailing address

508 S Independence Blvd Ste 200
VA Beach, VA 23452-1178
Phone (757) 761-5815

Other practice location 1

136 Cartwell Dr Apt 101
Virginia Beach, VA 23452-1420
Phone (757) 761-5815

Other practice location 2

508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178
Phone (757) 490-6463

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
I20210726001533 VA Practitioner - Nurse Practitioner 7416350673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1916 Benecia Dr
VA Beach, VA 23456-1554

249 Central Park Ave
Suite 300 160
Virginia Beach, VA 23462-3099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Mental Health Services LLC Psychiatric/Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Transformation Health Services LLC Psychiatric/Mental Health PastSince Jul 1, 2021 Accepting new patients

Locations

249 Central Park Ave
Ste 300160
Virginia Beach, VA 23462
Phone (757) 663-7547

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, 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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1083288740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S INDEPENDENCE BLVD STE 200",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234521178",
            "telephone_number": "757-761-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CENTRAL PARK AVE STE 300-160",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623099",
            "telephone_number": "757-663-7547",
            "fax_number": "757-802-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Cartwell Dr Apt 101",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521420",
            "country_code": "US",
            "telephone_number": "757-761-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 S Independence Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521178",
            "country_code": "US",
            "telephone_number": "757-490-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELT",
        "first_name": "KANISHA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.