Individual provider Active NPI

Camarita Bih Titang

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1437798873
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0017146612 Issued in VA
Practice address
6677 Richmond Hwy
Alexandria, VA 22306-6647
Phone
(703) 535-5568
NPI assigned
Jan 2, 2020
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0017146612 VA Primary

Addresses

Primary practice location

6677 Richmond Hwy
Alexandria, VA 22306-6647

Mailing address

16638 Reservoir Loop
Dumfries, VA 22026-6808
Phone (703) 649-8142

Other identifiers 1

IdentifierTypeStateIssuer
T61334978MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200312001317 DC Practitioner - Nurse Practitioner 0446688105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthGroup PAC ID 7517853419, 48 clinicians

Practice addresses (Care Compare)

1200 N Howard St
Alexandria, VA 22304-1634
Phone (703) 535-5568

6677 Richmond Hwy
Alexandria, VA 22306-6647
Phone (703) 535-5568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017146612VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Current Accepting new patients
Neighborhood Health CurrentSince Jan 28, 2020 Accepting new patients
Neighborhood Health CurrentSince Jan 28, 2020 Accepting new patients

Locations

1200 N Howard St
Alexandria, VA 22304
Phone (703) 519-5979

2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 565-5568

6677 Richmond Hwy
Alexandria, VA 22306
Phone (703) 303-3701

Interoperability endpoints

  • Direct secure messaging: camarita.titang@nhnva.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1437798873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16638 RESERVOIR LOOP",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220266808",
            "telephone_number": "703-649-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 RICHMOND HWY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223066647",
            "telephone_number": "703-535-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITANG",
        "first_name": "CAMARITA",
        "middle_name": "BIH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0017146612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T61334978",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.