Active NPI
Lite and Free, Inc.
- Psychiatric/Mental Health Nurse Practitioner
- Mechanicsville, VA
National Provider Identifier
1114539780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LITE AND FREE, INC.
- Practice address
- 9157 Atlee Rd Ste a
Mechanicsville, VA 23116-2504 - Phone
- (804) 991-4197
- Fax
- (804) 723-5421
- NPI assigned
- Aug 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Farley, DNP, PMHNP-BC
- Title
- President
- Phone
- (804) 991-4197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9157 Atlee Rd Ste a
Mechanicsville, VA 23116-2504
Mailing address
9157 Atlee Rd Ste a
Mechanicsville, VA 23116-2504
Phone (804) 991-4197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14563827 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | livewellbhs.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597622400000",
"number": "1114539780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9157 ATLEE RD STE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162504",
"telephone_number": "804-991-4197",
"fax_number": "804-723-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9157 ATLEE RD STE A",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162504",
"telephone_number": "804-991-4197",
"fax_number": "804-723-5421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITE AND FREE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-991-4197",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14563827",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "livewellbhs.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9157 Atlee Rd Ste A",
"city": "Mechanicsville",
"state": "VA",
"country_code": "US",
"postal_code": "231162504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.