Organization Active NPI

La-NP Psychiatric Mental-Health , PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
National Provider Identifier
1427706233
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Apr 4, 2022

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.