NPIMap

Individual provider Active NPI

Jessica Hite

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1326747973
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186592 Issued in VA
Practice address
1129 N Main St Ste H
South Boston, VA 24592-2547
Phone
(434) 517-6180
Fax
(434) 517-6179
NPI assigned
Mar 2, 2023
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186592 VA Primary

Addresses

Primary practice location

1129 N Main St Ste H
South Boston, VA 24592-2547

Mailing address

1129 N Main St Ste H
South Boston, VA 24592-2547
Phone (434) 517-6180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001450 VA Practitioner - Nurse Practitioner 6800251927 Reassigns benefits to 2 organizations

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
Group practices
Halifax Internal Medicine, PLLCGroup PAC ID 4284784315, 5 clinicians
Halifax Urgent CareGroup PAC ID 4587003793, 5 clinicians

Practice addresses (Care Compare)

1129 N Main St
Suite H
South Boston, VA 24592-2547
Phone (434) 517-6180

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Urgent Care CurrentSince Apr 15, 2024 Accepting new patients
Halifax Internal Medicine, PLLC CurrentSince Mar 13, 2023 Accepting new patients

Locations

1129 N Main St
Ste H
South Boston, VA 24592
Phone (434) 517-6180

1129 N Main St
Ste Huc
South Boston, VA 24592
Phone (434) 517-6180

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19190/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.hite.1@19190.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1326747973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE H",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-517-6180",
            "fax_number": "434-517-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 N MAIN ST STE H",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245922547",
            "telephone_number": "434-517-6180",
            "fax_number": "434-517-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.