Individual provider Active NPI

Nathacha Cerome, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1376110726
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181536 Issued in VA
Practice address
5402 Glenside Dr Ste D
Richmond, VA 23228-3994
Phone
(804) 610-7882
Fax
(804) 773-4581
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 0024181536 VA Primary

Addresses

Primary practice location

5402 Glenside Dr Ste D
Richmond, VA 23228-3994

Mailing address

5402 Glenside Dr Ste D
Richmond, VA 23228-3994
Phone (804) 610-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211201000672 DC Practitioner - Nurse Practitioner 1052701398 Reassigns benefits to 1 organization
I20220404002581 VA Practitioner - Nurse Practitioner 1052701398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5402 Glenside Dr
Suite D
Richmond, VA 23228-3994
Phone (804) 601-6206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients
Easy Care Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

5402 Glenside Dr
Ste D
Richmond, VA 23228
Phone (804) 601-6206

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1376110726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 GLENSIDE DR STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283994",
            "telephone_number": "804-610-7882",
            "fax_number": "804-773-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 GLENSIDE DR STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283994",
            "telephone_number": "804-610-7882",
            "fax_number": "804-773-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEROME",
        "first_name": "NATHACHA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.