Active NPI
Chiquita Collins, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024181629
- Practice address
- 825 Diligence Dr Ste 227
Newport News, VA 23606-4211 - Phone
- (757) 933-5386
- Fax
- (757) 210-4197
- NPI assigned
- Jun 16, 2021
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024181629 | VA | Primary |
Addresses
Primary practice location
825 Diligence Dr Ste 227
Newport News, VA 23606-4211
Mailing address
825 Diligence Dr Ste 227
Newport News, VA 23606-4211
Phone (757) 933-5386
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Virginia Commonwealth University, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
825 Diligence Dr
Suite 227
Newport News, VA 23606-4211
Phone (757) 309-5272
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Healing Psychological Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Peninsula Community Solutions | Current | Accepting new patients | |
| Rock Landing Psychological Group PLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
2021B Cunningham Dr
Ste 2
Hampton, VA 23666
Phone (757) 224-7986
2021 Executive Dr
Ste 370
Hampton, VA 23666
2101 Executive Dr
Ste 370
Hampton, VA 23666
Phone (757) 272-5294
2019 Cunningham Dr
Ste 301
Hampton, VA 23666
Phone (757) 535-9080
825 Diligence Dr
Ste 227
Newport News, VA 23606
Phone (757) 309-5272
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.
-
dba Supreme Healing Psychological Services, PLLC.
- Psychiatric/Mental Health Nurse Practitioner
- Newport News, VA
- NPI 1083373740
-
- In Home Supportive Care Agency
- Newport News, VA
- NPI 1548006588
-
- Psychiatry Physician
- Newport News, VA
- NPI 1528159183
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1467020339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 DILIGENCE DR STE 227",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064211",
"telephone_number": "757-933-5386",
"fax_number": "757-210-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 DILIGENCE DR STE 227",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064211",
"telephone_number": "757-933-5386",
"fax_number": "757-210-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CHIQUITA",
"name_prefix": "Miss",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024181629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.