Active NPI
Carol Taaffe, RN MSN
- Psychiatric/Mental Health Registered Nurse
- Portsmouth, VA
National Provider Identifier
1174600670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 0001050835
- Practice address
- 3300 Academy Avenue
Academy Crossing Medical Plaza
Portsmouth, VA 23703 - Phone
- (757) 483-6404
- Fax
- (757) 483-0737
- NPI assigned
- Nov 1, 2006
- 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 Registered Nurse | 163WP0808X | 0001050835 | VA | Primary |
Addresses
Primary practice location
3300 Academy Avenue
Academy Crossing Medical Plaza
Portsmouth, VA 23703
Mailing address
3300 Academy Avenue
Academy Crossing Medical Plaza
Portsmouth, VA 23703
Phone (757) 483-6404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057455 | Other | VA | ANTHEM |
| 7709510 | Medicaid | VA |
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
- Master of Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Portsmouth, VA
- NPI 1821421454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174600670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 ACADEMY AVENUE",
"address_2": "ACADEMY CROSSING MEDICAL PLAZA",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23703",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 ACADEMY AVENUE",
"address_2": "ACADEMY CROSSING MEDICAL PLAZA",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23703",
"telephone_number": "757-483-6404",
"fax_number": "757-483-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAAFFE",
"first_name": "CAROL",
"credential": "RN MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "VA",
"license": "0001050835",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "057455",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7709510",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.