Active NPI
Sequoia Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1659074243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SEQUOIA PSYCHIATRY LLC
- Practice address
- 809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861 - Phone
- (757) 524-3887
- NPI assigned
- Mar 23, 2023
- 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
- Michelle Matthew Eynon, PMHNP-BC
- Title
- Owner, Provider
- Phone
- (757) 524-3887
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861
Mailing address
809 Greenbrier Pkwy Ste 111
Chesapeake, VA 23320-3861
Phone (757) 524-3887
National Provider Directory
National Provider DirectoryLocations
809 Greenbrier Pkwy
Ste 111
Chesapeake, VA 23320
Phone (757) 524-3887
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": "1679529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1659074243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 GREENBRIER PKWY STE 111",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203861",
"telephone_number": "757-524-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 GREENBRIER PKWY STE 111",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203861",
"telephone_number": "757-524-3887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEQUOIA PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "EYNON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "757-524-3887",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"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 Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.