Jessica R Geen, N.P.

Key facts

NPI

1295081917

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

0001227454 (VA)

Practice address

12300 Washington Hwy
Ashland, VA 23005-7646

Phone

(804) 365-4217

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Hanover County Board of Supervisors Mental Health Counselor · Ashland, VA · NPI 1104858653
  Medicare reassignment NPD VA
• MCV Associated Physicians Anesthesiology Physician · Richmond, VA · NPI 1710959457
  Medicare reassignment NPD VA
• Hanover County Board of Supervisors Ambulance · Hanover, VA · NPI 1245275403
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 22, 2022.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1295081917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 WASHINGTON HWY",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057646",
            "telephone_number": "804-365-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEN",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001227454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Ashland, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia