Active NPI
Foundations Integrative Psychiatry and Medicine PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Abingdon, VA
National Provider Identifier
1609728484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- FOUNDATIONS INTEGRATIVE PSYCHIATRY AND MEDICINE PLLC
- Practice address
- 121 Russell Rd NW
Abingdon, VA 24210-2758 - Phone
- (276) 525-0031
- NPI assigned
- Feb 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miranda Martin Hucks, APRN
- Title
- Authorized Official
- Phone
- (276) 265-7255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
121 Russell Rd NW
Abingdon, VA 24210-2758
Mailing address
2121 Russel Road NW
Abingdon, VA 24210-7255
Phone (276) 265-7255
National Provider Directory
National Provider DirectoryLocations
26669 Newbanks Rd
Abingdon, VA 24210
121 Russell Rd NW
Abingdon, VA 24210
Phone (276) 525-0031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1609728484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 RUSSEL ROAD NW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242107255",
"telephone_number": "276-265-7255",
"fax_number": "276-200-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RUSSELL RD NW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242102758",
"telephone_number": "276-525-0031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS INTEGRATIVE PSYCHIATRY AND MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-12",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "HUCKS",
"authorized_official_first_name": "MIRANDA",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "276-265-7255",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.