Kyrah M Coone, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024191022 Issued in VA

Practice address

1000 Commerial Lane
Suffolk, VA 23434

Phone

(757) 758-5106

Fax

(757) 925-3504

NPI assigned

May 17, 2024

Last updated

Feb 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Tidewater Community MentalGroup PAC ID 2961476114, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Western Tidewater Community Mental

  dba Western Tidewater Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suffolk, VA
  • NPI 1689615296
  Medicare reassignment Care Compare group NPD
• Abundant Life Partners, LLC

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1942740279
  Medicare reassignment NPD
• Restorerx Innovations

  • Psychiatry Physician
  • Chesapeake, VA
  • NPI 1386598068
  NPD Authorized official
• Abundant Path LLC

  dba Abundant Path Evaluations

  • Psychologist
  • Williamsburg, VA
  • NPI 1962374439

  Psychiatric/Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1124877469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COMMERIAL LANE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-758-5106",
            "fax_number": "757-925-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERIAL LANE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-758-5106",
            "fax_number": "757-925-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONE",
        "first_name": "KYRAH",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001305260",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Connors
• Miata Cook, LCSW
• Averi Renise Cooke, LPC
• Erica Lynn Cooke, NP
• Janisa Cooke
• Jayne Cooper
• Bruce A. Copeland, LCSW
• Ethel Jean Copeland
• George Willett Cornell, MD
• Cornerstone Private Practice

• Psychiatric/Mental Health Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.