Individual provider Active NPI

Keyosha Takia Taylor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colonial Heights, VA
National Provider Identifier
1215803424
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024195034 Issued in VA
Practice address
405 James Ave
Colonial Heights, VA 23834-2807
Phone
(804) 721-3521
NPI assigned
Oct 14, 2025
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 0024195034 VA Primary

Addresses

Primary practice location

405 James Ave
Colonial Heights, VA 23834-2807

Mailing address

405 James Ave
Colonial Heights, VA 23834-2807
Phone (804) 721-3521

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
I20260304001600 VA Practitioner - Nurse Practitioner 1355823832 Reassigns benefits to 1 organization
I20260506002043 DC Practitioner - Nurse Practitioner 1355823832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Practice addresses (Care Compare)

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 740-6174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024195034VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jan 28, 2026 Accepting new patients

Locations

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1215803424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 JAMES AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342807",
            "telephone_number": "804-721-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 JAMES AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342807",
            "telephone_number": "804-721-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEYOSHA",
        "middle_name": "TAKIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024195034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.