Individual provider Active NPI

Shawlawn Freeman-Hicks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1598305906
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178682 Issued in VA
Practice address
400 Southlake Blvd Ste J
North Chesterfield, VA 23236-3061
Phone
(804) 944-5057
NPI assigned
Jan 14, 2020
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 0024178682 VA Primary

Addresses

Primary practice location

400 Southlake Blvd Ste J
North Chesterfield, VA 23236-3061

Mailing address

2400 Sandler CT
North Chesterfield, VA 23235-6368
Phone (804) 944-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200624000890 VA Practitioner - Nurse Practitioner 5698197457 Reassigns benefits to 9 organizations
I20201123001844 DC Practitioner - Nurse Practitioner 5698197457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Virginia South Psychiatric and Family ServicesGroup PAC ID 3476443797, 35 clinicians

Practice addresses (Care Compare)

207 N 4TH Ave
Hopewell, VA 23860-2503
Phone (804) 518-6513

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Jun 2, 2020 Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 9, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 19, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2022 Accepting new patients
Melodys Consulting LLC CurrentSince Sep 15, 2021 Accepting new patients
Legacy Care Aco LLC CurrentSince Aug 1, 2025 Accepting new patients
Virginia South Psychiatric & Family Services CurrentSince Apr 1, 2025 Accepting new patients
Legacy Care LLC CurrentSince Aug 1, 2025 Accepting new patients
Inner Peace, LLC Psychiatric/Mental Health CurrentSince Jul 9, 2023 Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

3900 Plank Rd
Fredericksburg, VA 22407
Phone (540) 786-8351

3600 Mountain Rd
Glen Allen, VA 23060
Phone (804) 672-6725

207 N 4th Ave
Hopewell, VA 23860
Phone (804) 518-6513

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

8227 Meadowbridge Rd
Mechanicsville, VA 23116
Phone (804) 709-0811

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

13817 Village Mill Dr
Ste R
Midlothian, VA 23114
Phone (804) 537-2024

650 Watkins Centre Pkwy
Midlothian, VA 23114
Phone (804) 893-0100

400 Southlake Blvd
Ste J
North Chesterfield, VA 23236
Phone (804) 584-6148

9460 Amberdale Dr
Ste G2
North Chesterfield, VA 23236
Phone (804) 728-2278

269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

2000 Wilkes Ridge Dr
Richmond, VA 23233
Phone (804) 342-4349

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

Organizations & group practices 11

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1598305906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SANDLER CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356368",
            "telephone_number": "804-944-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHLAKE BLVD STE J",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363061",
            "telephone_number": "804-944-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-HICKS",
        "first_name": "SHAWLAWN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.