Individual provider Active NPI

Keisha Q. James, FNP-C

  • Family Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1235660655
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174703 Issued in VA
Practice address
2580 Pruden Blvd
Suffolk, VA 23434-4229
Phone
(804) 925-7600
Fax
(804) 681-0051
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174703 VA Primary

Addresses

Primary practice location

2580 Pruden Blvd
Suffolk, VA 23434-4229

Mailing address

2580 Pruden Blvd
Suffolk, VA 23434-4229
Phone (804) 925-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170522002081 VA Practitioner - Nurse Practitioner 8123395282 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Geriatrics LLCGroup PAC ID 9537404967, 6 clinicians
Geriatric Associates of Richmond IncGroup PAC ID 4789026071, 22 clinicians

Practice addresses (Care Compare)

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone (804) 721-9145

5310 Twin Hickory Rd
Glen Allen, VA 23059-5783
Phone (804) 714-6291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174703VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2017 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Oct 3, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2017 Accepting new patients
CNP Operating Co LLC CurrentSince Oct 14, 2025 Accepting new patients
Mazen Madhoun MD LLC CurrentSince Sep 15, 2025 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Jul 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC CurrentSince Jan 1, 2020 Accepting new patients
Bloom Geriatrics LLC CurrentSince Apr 1, 2020 Accepting new patients
Southeastern Intensivist Services PC CurrentSince May 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Jul 23, 2019 Accepting new patients
Geriatric Associates of Richmond Inc CurrentSince Apr 7, 2024 Accepting new patients
PA Post Acute Services PC CurrentSince Oct 14, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Current Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Express Med Urgent Care Center, Inc PastSince Apr 7, 2024 Accepting new patients
My Wellness Watch PC Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

1714 E Hundred Rd
Ste 101
Chester, VA 23836
Phone (804) 530-5293

184 Buffalo Rd
Clarksville, VA 23927
Phone (434) 206-3100

5310 Twin Hickory Rd
Glen Allen, VA 23059
Phone (804) 360-4242

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

905 Cousins Ave
Hopewell, VA 23860
Phone (804) 458-6325

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7246 Forest Hill Ave
Richmond, VA 23225
Phone (513) 302-5590

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

1500 N 28th St
Richmond, VA 23223
Phone (804) 225-1700

3615 W Main St
Ste 101
Salem, VA 24153
Phone (540) 397-5319

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

1235 S Mount Vernon Ave
Williamsburg, VA 23185
Phone (757) 208-7110

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1235660655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344229",
            "telephone_number": "804-925-7600",
            "fax_number": "804-681-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344229",
            "telephone_number": "804-925-7600",
            "fax_number": "804-681-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KEISHA",
        "middle_name": "Q.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.