Active NPI
Pamela Dawn Walker Byrnes, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024171800
- Practice address
- 310 Old Ivy Way
Ste 104
Charlottesville, VA 22903-4896 - Phone
- (434) 243-6950
- Fax
- (434) 243-6970
- NPI assigned
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 0024171800 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024171800 | VA | Primary |
Addresses
Primary practice location
310 Old Ivy Way
Ste 104
Charlottesville, VA 22903-4896
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171800 | VA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Chesapeake | Current | Accepting new patients | |
| City of Chesapeake | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Piedmont Regional Community Services Board | Current | Accepting new patients |
Locations
310 Old Ivy Way
Ste 104
Charlottesville, VA 22903
Phone (434) 243-6950
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334
24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128
22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128
Interoperability endpoints
- pwalker266690@direct.healthsystem.virginia.edu
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Chesapeake, VA
- NPI 1073650099
-
- Community/Behavioral Health Agency
- Martinsville, VA
- NPI 1699754010
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Ambulance
- Chesapeake, VA
- NPI 1659385938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1407262298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229069007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 OLD IVY WAY",
"address_2": "STE 104",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034896",
"telephone_number": "434-243-6950",
"fax_number": "434-243-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNES",
"first_name": "PAMELA",
"middle_name": "DAWN WALKER",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "VA",
"license": "0024171800",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024171800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.