Brooklin Raechel Callahan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024180891 Issued in VA

Practice address

3601 Old Halifax Rd
Suite 100
South Boston, VA 24592-4953

Phone

(434) 290-1225

NPI assigned

Feb 6, 2021

Last updated

Feb 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013

Merit-based Incentive Payment System (MIPS)

Final score

27.98 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

93.27

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Velocity Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Williamsburg, VA
  • NPI 1205350584
  Medicare reassignment Care Compare group NPD
• Velocity Urgent Care, LLC

  dba Velocity Urgent Care

  • Urgent Care Clinic/Center
  • Suffolk, VA
  • NPI 1467914994
  NPD (past)
• Velocity Urgent Care, LLC

  • Clinic/Center
  • South Boston, VA
  • NPI 1972004299
  NPD (past)

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

• Halifax Regional Hospital, Inc.

  dba Sentara Halifax Regional Hospital

  • General Acute Care Hospital
  • South Boston, VA
  • NPI 1588668842
  Care Compare affiliation

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1376135830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 OLD HALIFAX RD STE 100",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924953",
            "telephone_number": "434-290-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 OLD HALIFAX RD",
            "address_2": "SUITE 100",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245924953",
            "telephone_number": "434-290-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "BROOKLIN",
        "middle_name": "RAECHEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger W Browne, MD
• Dante De Los Santos Bruno, MD
• Building Block, LLC
• Gerald Crain Burnett, M.D/
• Larry Burrell II
• Jessica Carr, PHARMD
• William Fletcher Carr, D.D.S.
• Laura I Castle, LPC CSAC
• Richard W Castle, LPC
• Lisa Caudle, RD

• Family Nurse Practitioner in South Boston, VA
• Providers in South Boston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.