Active NPI
Theresa Ann Jarrells
- Peer Specialist
- Chester, VA
National Provider Identifier
1104690270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 500 Baptist Dr
Chester, VA 23836-5781 - Phone
- (804) 926-6390
- Fax
- (866) 829-5718
- NPI assigned
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | VA | Primary |
Addresses
Primary practice location
500 Baptist Dr
Chester, VA 23836-5781
Mailing address
1510 Willow Lawn Dr Ste 100
Richmond, VA 23230-3429
Phone (804) 874-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1104690270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 WILLOW LAWN DR STE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303429",
"telephone_number": "804-874-9693",
"fax_number": "866-829-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BAPTIST DR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238365781",
"telephone_number": "804-926-6390",
"fax_number": "866-829-5718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRELLS",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
- Shauna Denee James-Hooker, CSAC
- Everton James
- Katherine James, BCBA
- Tiffany Benay James, LPC
- Abbey Lyn Jaramillo, DO
- JDM Dental, PLC
- Cristal Rose Jenkins, LCSW
- Jerolin Management Services, LLC (Residential Services at Rivers Bend)
- Jerolin Management Services, LLC (Residential Services at Rivers Bend)
- Jerolin Management Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.