Individual provider Active NPI

Ramatu Dougray Jalloh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1093467839
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024183363 Issued in VA
Practice address
14716 Grobie Pond LN
Centreville, VA 20120-2988
Phone
(703) 485-5923
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 0024183363 VA Primary

Addresses

Primary practice location

14716 Grobie Pond LN
Centreville, VA 20120-2988

Mailing address

14716 Grobie Pond LN
Centreville, VA 20120-2988
Phone (703) 485-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250930001303 DC Practitioner - Nurse Practitioner 8022514058 Reassigns benefits to 1 organization
I20251215002219 VA Practitioner - Nurse Practitioner 8022514058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Practice addresses (Care Compare)

14554 Lee Rd
Chantilly, VA 20151-1775
Phone (703) 543-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024183363VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Healthva, LLC CurrentSince Jan 10, 2026 Accepting new patients
Connections Healthva, LLC CurrentSince Sep 3, 2025 Accepting new patients
Connections Healthva, LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

14554 Lee Rd
Chantilly, VA 20151
Phone (703) 543-9948

14011 Worth Ave
Ste 130150
Woodbridge, VA 22192
Phone (703) 543-9948

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1093467839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14716 GROBIE POND LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202988",
            "telephone_number": "703-485-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14716 GROBIE POND LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202988",
            "telephone_number": "703-485-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOH",
        "first_name": "RAMATU",
        "middle_name": "DOUGRAY",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.