Rebecca Anne Harrell, MPA, PA-C, CAQ-PSY

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110010437 Issued in VA

Practice address

506 S Independence Blvd Ste 202
Virginia Beach, VA 23452-1154

Phone

(756) 206-2682

NPI assigned

Jan 5, 2022

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Physician Assistant

Education

Eastern Virginia Medical School, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McQueen and Dhillon Enterprises LLCGroup PAC ID 8628512787, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• McQueen and Dhillon Enterprises, LLC

  dba Latitude Psychiatric Solutions

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1134900020

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1386305969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S INDEPENDENCE BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521154",
            "telephone_number": "572-062-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S INDEPENDENCE BLVD STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521154",
            "telephone_number": "756-206-2682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Harmon St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235184056",
            "country_code": "US",
            "telephone_number": "757-530-5767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MPA, PA-C, CAQ-PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110010437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1195811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiante Harrell
• Cynthia Harrell, LPC
• Devin Harrell
• John Harrell
• Lynnelle Renee' Harrell, LCSW
• Sean Harrigan
• Elizabeth Marie Harrington, O.D.
• Harris Teeter LLC (Harris Teeter Pharmacy #459)
• Harris Teeter LLC (Harris Teeter Pharmacy #419)
• Harris Teeter LLC (Harris Teeter Pharmacy #350)

• Medical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.