Individual provider Active NPI

Tiajuana Stewart, RN

  • Psychiatric/Mental Health Registered Nurse
  • Midlothian, VA
National Provider Identifier
1205133154
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
0001163979 Issued in VA
Practice address
551 Lawford LN
Midlothian, VA 23114-5542
Phone
(804) 248-3928
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001163979 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0001163979 VA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 0001163979 VA
Case Management Registered Nurse 163WC0400X 0001163979 VA
College Health Registered Nurse 163WC1400X 0001163979 VA
Community Health Registered Nurse 163WC1500X 0001163979 VA
Home Health Registered Nurse 163WH0200X 0001163979 VA
Pain Management Registered Nurse 163WP0000X 0001163979 VA
Pediatric Registered Nurse 163WP0200X 0001163979 VA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 0001163979 VA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 0001163979 VA
School Registered Nurse 163WS0200X 0001163979 VA
Chore Provider 372500000X 0001163979 VA
Day Training/Habilitation Specialist 373H00000X 0001163979 VA

Addresses

Primary practice location

551 Lawford LN
Midlothian, VA 23114-5542

Mailing address

551 Lawford LN
Midlothian, VA 23114-5542
Phone (804) 248-3928

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001163979VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1205133154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LAWFORD LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145542",
            "telephone_number": "804-248-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LAWFORD LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145542",
            "telephone_number": "804-248-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TIAJUANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001163979",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "VA",
            "license": "0001163979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.