Organization Active NPI

Sublime Mind, PLLC

Doing business as Sublime Mind

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1396548921
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUBLIME MIND, PLLC
Doing business as
Sublime Mind
Practice address
911 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3111
Phone
(757) 280-4801
Fax
(757) 767-7866
NPI assigned
Mar 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Kimm Hall
Title
Biller
Phone
(813) 395-9269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

911 First Colonial Rd Ste 100
Virginia Beach, VA 23454-3111

Mailing address

104 Mariners CT
Smithfield, VA 23430-5630
Phone (757) 280-4801

Other names 1

  • Sublime Mind Doing business as

National Provider Directory

National Provider Directory

Locations

911 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 280-4801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1396548921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARINERS CT",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305630",
            "telephone_number": "757-280-4801",
            "fax_number": "757-767-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 FIRST COLONIAL RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543111",
            "telephone_number": "757-280-4801",
            "fax_number": "757-767-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME MIND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KIMM",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "813-395-9269"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sublime Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.