Active NPI
La-NP Psychiatric Mental-Health , PLC
- Psychiatric/Mental Health Nurse Practitioner
- Chester, VA
National Provider Identifier
1427706233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LA-NP PSYCHIATRIC MENTAL-HEALTH , PLC
- Practice address
- 11900 Tideline Cir
Chester, VA 23836-5437 - Phone
- (856) 404-5794
- NPI assigned
- Mar 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Olanda Spurlock, NP- PSYCHIATRIC MH
- Title
- Manager
- Phone
- (856) 404-5794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11900 Tideline Cir
Chester, VA 23836-5437
Mailing address
11900 Tideline Cir
Chester, VA 23836-5437
Phone (856) 404-5794
Other practice location 1
214 W Hundred Rd
Chester, VA 23836-2505
Phone (856) 404-5794
Other names 1
- LA-NP Psychiatric Mental-Health, PLC
National Provider Directory
National Provider DirectoryLocations
214 W Hundred Rd
Chester, VA 23836
Phone (804) 946-2488
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Allen, VA
- NPI 1023267838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649030400000",
"number": "1427706233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 TIDELINE CIR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238365437",
"telephone_number": "856-404-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 TIDELINE CIR",
"city": "CHESTER",
"state": "VA",
"postal_code": "238365437",
"telephone_number": "856-404-5794"
}
],
"practiceLocations": [
{
"address_1": "214 W Hundred Rd",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "VA",
"postal_code": "238362505",
"country_code": "US",
"telephone_number": "856-404-5794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LA-NP PSYCHIATRIC MENTAL-HEALTH , PLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-11",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A",
"authorized_official_last_name": "SPURLOCK",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "OLANDA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "856-404-5794",
"authorized_official_credential": "NP- PSYCHIATRIC MH"
},
"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": "LA-NP Psychiatric Mental-Health, PLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "LA-NP Psychiatric Mental-Health, PLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.