Active NPI
Juanita Parker, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1114440484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024175132
- Practice address
- 1021 Eden Way N
Chesapeake, VA 23320-2776 - Phone
- (757) 842-4233
- NPI assigned
- Jul 19, 2017
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024175132 | VA | Primary |
Addresses
Primary practice location
1021 Eden Way N
Chesapeake, VA 23320-2776
Mailing address
904 Riley Dr
Chesapeake, VA 23322-7420
Phone (757) 546-4494
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Minds Psychiatric Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Renewed Minds Healthcare LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1021 Eden Way N
Chesapeake, VA 23320
Phone (434) 203-9097
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1003637786
-
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
- NPI 1790665164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1114440484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 RILEY DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233227420",
"telephone_number": "757-546-4494",
"fax_number": "757-765-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 EDEN WAY N",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202776",
"telephone_number": "757-842-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "JUANITA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024175132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.