NPIMap

Organization Active NPI

Conquest Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, VA
National Provider Identifier
1235902438
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CONQUEST HEALTH
Doing business as
Conquest Health
Practice address
7110 Heritage Village PLZ Ste 101
Gainesville, VA 20155-3076
Phone
(571) 556-8205
Fax
(833) 428-8384
NPI assigned
Oct 31, 2023
Last updated
Mar 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Mr. David Phelps, APRNNPI 1215599881
Title
Owner
Phone
(703) 283-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

7110 Heritage Village PLZ Ste 101
Gainesville, VA 20155-3076

Mailing address

7110 Heritage Village PLZ Ste 101
Gainesville, VA 20155-3076
Phone (571) 556-8205

Other names 1

  • Conquest Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918004237 VA Part B Supplier - Clinic/Group Practice 9537600424 Receives reassigned benefits from 4 practitioners
Practice locations: Gainesville, VA

National Provider Directory

National Provider Directory

Locations

15100 Washington St
Ste 103
Haymarket, VA 20169
Phone (703) 249-9835

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1235902438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 HERITAGE VILLAGE PLZ STE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553076",
            "telephone_number": "571-556-8205",
            "fax_number": "833-428-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 HERITAGE VILLAGE PLZ STE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553076",
            "telephone_number": "571-556-8205",
            "fax_number": "833-428-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-283-4215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conquest Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conquest Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.