Individual provider Active NPI

Chiquita Collins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1467020339
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181629 Issued in VA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324000109 VA Practitioner - Nurse Practitioner 1052785557 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Supreme Healing Psychological Services Psychiatric/Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Peninsula Community Solutions CurrentSince Jan 19, 2025 Accepting new patients
Rock Landing Psychological Group PLC Psychiatric/Mental Health PastSince Jun 1, 2021 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.

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

Verify at the official NPI Registry.