Individual provider Active NPI

Katia Yvette Hall, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1366865842
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024171483 Issued in VA
Practice address
2010 Old Greenbrier Rd Ste J
Chesapeake, VA 23320-2619
Phone
(757) 413-5444
NPI assigned
Feb 4, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171483 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024171483 VA Primary

Addresses

Primary practice location

2010 Old Greenbrier Rd Ste J
Chesapeake, VA 23320-2619

Mailing address

2010 Old Greenbrier Rd Ste J
Chesapeake, VA 23320-2619
Phone (757) 413-5444

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
I20140501001027 VA Practitioner - Nurse Practitioner 9537392329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpha Psychiatric Services LLCGroup PAC ID 7911246517, 6 clinicians

Practice addresses (Care Compare)

2010 Old Greenbrier Rd
Suite J
Chesapeake, VA 23320-2619
Phone (757) 413-5444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024171483VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Psychiatric Services, LLC Psychiatric/Mental Health CurrentSince Dec 4, 2018 Accepting new patients

Locations

2005 Old Greenbrier Rd
Ste 104
Chesapeake, VA 23320
Phone (757) 210-4072

2010 Old Greenbrier Rd
Ste J
Chesapeake, VA 23320
Phone (757) 413-5444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/29322/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katia.hall.1@29322.direct.athenahealth.com

Organizations & group practices 1

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366865842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 OLD GREENBRIER RD STE J",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202619",
            "telephone_number": "757-413-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD GREENBRIER RD STE J",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202619",
            "telephone_number": "757-413-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATIA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024171483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.