Individual provider Active NPI

Rondeshya Keyonna Cosby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1184209777
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181130 Issued in VA
Practice address
2244 Executive Dr
Hampton, VA 23666-2430
Phone
(757) 827-1001
NPI assigned
Mar 15, 2021
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181130 VA Primary

Addresses

Primary practice location

2244 Executive Dr
Hampton, VA 23666-2430

Mailing address

PO Box 9244
Hampton, VA 23670-0244
Phone (252) 370-5222

Other practice location 1

615 Saint George Square Ct
Winston Salem, NC 27103-1356
Phone (252) 751-5103

Other practice location 2

400 S Road St Ste D1
Elizabeth City, NC 27909-4900
Phone (252) 698-0123

Other practice location 3

4410 Claiborne Sq E
Hampton, VA 23666-2071
Phone (252) 751-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20210525002757 VA Practitioner - Nurse Practitioner 2567861412 Reassigns benefits to 5 organizations
I20220506000204 NC Practitioner - Nurse Practitioner 2567861412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4410 Claiborne SQ E
Suite 334
Hampton, VA 23666-2074
Phone (757) 324-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181130VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Shadows Corporation Psychiatric/Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Mid-Atlantic Post Acute & Long Term Care PLLC Psychiatric/Mental Health CurrentSince Sep 14, 2024 Accepting new patients
SE Virginia Value Based Care, LLC CurrentSince Sep 14, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Peace of Mind Therapeutic Solutions Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

355 Crawford St
Ste 102
Portsmouth, VA 23704
Phone (757) 232-3321

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1184209777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9244",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236700244",
            "telephone_number": "252-370-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662430",
            "telephone_number": "757-827-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Saint George Square Ct",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031356",
            "country_code": "US",
            "telephone_number": "252-751-5103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Road St Ste D1",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279094900",
            "country_code": "US",
            "telephone_number": "252-698-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 Claiborne Sq E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662071",
            "country_code": "US",
            "telephone_number": "252-751-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSBY",
        "first_name": "RONDESHYA",
        "middle_name": "KEYONNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.