Active NPI
Lakeisha Keneti, DNP,FNP-C, PMH-BC
- Family Nurse Practitioner
- Suffolk, VA
National Provider Identifier
1609119452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024170662
- Practice address
- 2470 Pruden Blvd
Suffolk, VA 23434-4206 - Phone
- (757) 922-8046
- Fax
- (757) 922-8049
- NPI assigned
- Mar 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170662 | VA | Primary |
Addresses
Primary practice location
2470 Pruden Blvd
Suffolk, VA 23434-4206
Mailing address
2470 Pruden Blvd
Suffolk, VA 23434-4206
Phone (757) 922-8048
Other practice location 1
2470 Pruden Blvd
Suffolk, VA 23434-4206
Phone (757) 922-8048
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Therapeutic Solutions | Current | Accepting new patients | |
| Charis Mental Health, PLLC | Family | Current | Accepting new patients |
| Charis Mental Health Plus Integrative Care | Current | Accepting new patients | |
| Parker Schlichter & Associates | Past | Accepting new patients |
Locations
355 Crawford St
Ste 102
Portsmouth, VA 23704
Phone (757) 232-3321
2470 Pruden Blvd
Suffolk, VA 23434
Phone (757) 922-8046
Interoperability endpoints
- lakeisha.keneti@4096.securemail.prognocis.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Suffolk, VA
- NPI 1982130555
-
- Psychiatric/Mental Health Nurse Practitioner
- Portsmouth, VA
- NPI 1477178218
-
- Psychiatry Physician
- Suffolk, VA
- NPI 1558138453
-
- Mental Health Counselor
- Norfolk, VA
- NPI 1811923295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1609119452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 PRUDEN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344206",
"telephone_number": "757-922-8048",
"fax_number": "757-922-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 PRUDEN BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344206",
"telephone_number": "757-922-8046",
"fax_number": "757-922-8049"
}
],
"practiceLocations": [
{
"address_1": "2470 Pruden Blvd",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234344206",
"country_code": "US",
"telephone_number": "757-922-8048",
"fax_number": "757-922-8049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENETI",
"first_name": "LAKEISHA",
"name_prefix": "Dr.",
"credential": "DNP,FNP-C, PMH-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-30",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024170662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.