NPIMap

Organization Active NPI

Love and Humble Medical Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesterfield, VA
National Provider Identifier
1255075339
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOVE AND HUMBLE MEDICAL CARE
Practice address
9844 Lori Rd Ste 102
Chesterfield, VA 23832-6691
Phone
(203) 507-5653
NPI assigned
Apr 25, 2022
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Gerlene Sherard, FNP-C, PMHNP-BCNPI 1649722505
Title
Owner/Provider
Phone
(203) 507-5653

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 1

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

Addresses

Primary practice location

9844 Lori Rd Ste 102
Chesterfield, VA 23832-6691

Mailing address

9844 Lori Rd Ste 102
Chesterfield, VA 23832-6691
Phone (203) 507-5653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728000308 VA Part B Supplier - Clinic/Group Practice 5890177539 Receives reassigned benefits from 8 practitioners
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1255075339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 LORI RD STE 102",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326691",
            "telephone_number": "203-507-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 LORI RD STE 102",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326691",
            "telephone_number": "203-507-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND HUMBLE MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SHERARD",
        "authorized_official_first_name": "GERLENE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "203-507-5653",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.