Individual provider Active NPI

Kelly Hughes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Washington, MD
National Provider Identifier
1154154995
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC007016 Issued in MD
Practice address
8507 Oxon Hill Rd Ste 200
Fort Washington, MD 20744-4774
Phone
(804) 824-5503
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190850 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC007016 MD Primary

Addresses

Primary practice location

8507 Oxon Hill Rd Ste 200
Fort Washington, MD 20744-4774

Mailing address

14044 Track LN
Smithfield, VA 23430-3820
Phone (804) 824-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250116001228 VA Practitioner - Nurse Practitioner 4981132099 Reassigns benefits to 1 organization
I20250221002748 DC Practitioner - Nurse Practitioner 4981132099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

1315 Jamestown Rd
Suite 203
Williamsburg, VA 23185-3303
Phone (757) 603-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC007016MDMDPsychiatric/Mental Health Nurse Practitioner
0024190850VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Partners, LLC CurrentSince Dec 14, 2024 Accepting new patients
Dua Psychiatry and Wellness LLC CurrentSince Jan 1, 2025 Accepting new patients
Abundant Path LLC Psychiatric/Mental Health PastSince Sep 28, 2025 Accepting new patients

Locations

8507 Oxon Hill Rd
Ste 200
Ft Washington, MD 20744
Phone (240) 886-1366

5248 Olde Towne Rd
Ste 10
Williamsburg, VA 23188

1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1154154995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 TRACK LN",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234303820",
            "telephone_number": "804-824-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 OXON HILL RD STE 200",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444774",
            "telephone_number": "804-824-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KELLY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190850",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.