Individual provider Active NPI

Pamela Dawn Walker Byrnes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1407262298
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024171800 Issued in VA
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

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121001725 VA Practitioner - Nurse Practitioner 4284956574 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024171800VAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chesapeake CurrentSince Feb 25, 2017 Accepting new patients
City of Chesapeake CurrentSince Feb 25, 2017 Accepting new patients
University of Virginia Physicians Group CurrentSince Sep 15, 2014 Accepting new patients
Piedmont Regional Community Services Board CurrentSince Mar 18, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.