Individual provider Active NPI

Lydia Beatrice Sharp

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1679244677
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181686 Issued in VA
Practice address
14000 Crown CT Ste 101
Woodbridge, VA 22193-1461
Phone
(540) 812-2718
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 0024181686 VA Primary

Addresses

Primary practice location

14000 Crown CT Ste 101
Woodbridge, VA 22193-1461

Mailing address

14000 Crown CT Ste 101
Woodbridge, VA 22193-1461
Phone (540) 812-2718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220701000421 DC Practitioner - Nurse Practitioner 4486034873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

6076 Franconia Rd
Suite D
Alexandria, VA 22310-1768
Phone (703) 828-9054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024181686VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

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

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

1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570

Organizations & group practices 1

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1679244677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931461",
            "telephone_number": "540-812-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931461",
            "telephone_number": "540-812-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "LYDIA",
        "middle_name": "BEATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.