Individual provider Active NPI

Jacob Tyree Cash, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1134739386
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024179880 Issued in VA
Practice address
320 Federal St
Lynchburg, VA 24504-2306
Phone
(434) 947-5967
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024179880 VA Primary

Addresses

Primary practice location

320 Federal St
Lynchburg, VA 24504-2306

Mailing address

358 Bearfield Rd
Amherst, VA 24521-3986
Phone (434) 941-8091

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201118001084 VA Practitioner - Nurse Practitioner 6103237458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Health CenterGroup PAC ID 9537060413, 39 clinicians

Practice addresses (Care Compare)

320 Federal St
Lynchburg, VA 24504-2306
Phone (434) 947-5967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024179880VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Health Center CurrentSince Sep 21, 2020 Accepting new patients
Johnson Health Center CurrentSince Sep 21, 2020 Accepting new patients

Locations

320 Federal St
Lynchburg, VA 24504
Phone (434) 947-5967

109 Clearview Rd
Madison Heights, VA 24572
Phone (434) 929-1400

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, 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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1134739386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 BEARFIELD RD",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245213986",
            "telephone_number": "434-941-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 FEDERAL ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042306",
            "telephone_number": "434-947-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASH",
        "first_name": "JACOB",
        "middle_name": "TYREE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024179880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.