Individual provider Active NPI

Denita Peele-Whickum, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1265137434
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024186887 Issued in VA
Practice address
640 Independence Pkwy Ste 300
Chesapeake, VA 23320-5205
Phone
(757) 935-7159
NPI assigned
Apr 5, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 0024186887 VA Primary

Addresses

Primary practice location

640 Independence Pkwy Ste 300
Chesapeake, VA 23320-5205

Mailing address

640 Independence Pkwy Ste 300
Chesapeake, VA 23320-5205
Phone (757) 935-7159

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
I20230921001892 VA Practitioner - Nurse Practitioner 2860846052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

640 Independence Pkwy
Suite 300
Chesapeake, VA 23320-5205
Phone (757) 935-7159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024186887VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aligning Paths Current Accepting new patients
Aligning Paths Mental Health Services LLC Psychiatric/Mental Health CurrentSince Jun 6, 2023 Accepting new patients
JPB Wellness LLC Psychiatric/Mental Health PastSince Aug 2, 2023 Accepting new patients

Locations

640 Independence Pkwy
Ste 300
Chesapeake, VA 23320
Phone (757) 935-7159

Organizations & group practices 3

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1265137434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 INDEPENDENCE PKWY STE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205205",
            "telephone_number": "757-935-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 INDEPENDENCE PKWY STE 300",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205205",
            "telephone_number": "757-935-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELE-WHICKUM",
        "first_name": "DENITA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.