Individual provider Active NPI

Renimol Philip, DNP, PMHNP-BC, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1265314066
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24193991 Issued in VA
Practice address
4528 Indiana Ave
Chesapeake, VA 23321-2713
Phone
(757) 381-6625
Fax
(757) 891-6133
NPI assigned
Jul 23, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 24193991 VA Primary

Addresses

Primary practice location

4528 Indiana Ave
Chesapeake, VA 23321-2713

Mailing address

16713 Sayley Dr
Chesterfield, VA 23832-2155
Phone (804) 821-7688

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
I20251212000964 VA Practitioner - Nurse Practitioner 1456845825 Reassigns benefits to 3 organizations

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
Aevum BH VA LLCGroup PAC ID 3274067210, 35 clinicians

Practice addresses (Care Compare)

1722 Lawrenceville Plank Rd
Lawrenceville, VA 23868-3351
Phone (804) 446-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24193991VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aevum BH VA LLC Single Specialty CurrentSince Nov 26, 2025 Accepting new patients
Heal & Rise LLC Psychiatric/Mental Health CurrentSince Jan 4, 2026 Accepting new patients
Aevum Behavioral Health VA LLC Psychiatric/Mental Health PastSince Sep 1, 2024 Accepting new patients

Locations

1722 Lawrenceville Plank Rd
Lawrenceville, VA 23868
Phone (434) 848-4766

4403 Forest Hill Ave
Richmond, VA 23225
Phone (804) 231-0231

Organizations & group practices 4

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1265314066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16713 SAYLEY DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322155",
            "telephone_number": "804-821-7688",
            "fax_number": "757-891-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 INDIANA AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212713",
            "telephone_number": "757-381-6625",
            "fax_number": "757-891-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "RENIMOL",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "24193991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.