Individual provider Active NPI

Engoh Bellamy

  • Psychiatric/Mental Health Nurse Practitioner
  • Ruther Glen, VA
National Provider Identifier
1679398382
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024192812 Issued in VA
Practice address
11073 Colonel Armistead Dr Ste 105B
Ruther Glen, VA 22546-3367
Phone
(703) 660-4676
NPI assigned
Nov 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 0024192812 VA Primary

Addresses

Primary practice location

11073 Colonel Armistead Dr Ste 105B
Ruther Glen, VA 22546-3367

Mailing address

11073 Colonel Armistead Dr Ste 105B
Ruther Glen, VA 22546-3367
Phone (703) 660-4676

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904003976 VA Practitioner - Nurse Practitioner 2567964091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vital Health and Integrative CareGroup PAC ID 3072986439, 5 clinicians

Practice addresses (Care Compare)

6131 James Madison Pkwy
King George, VA 22485-5351
Phone (571) 505-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024192812VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health & Integrative Care CurrentSince Jul 1, 2025 Accepting new patients
Bellamy Psychiatric Services, PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

6131 James Madison Pkwy
King George, VA 22485
Phone (571) 505-1744

11073 Colonel Armistead Dr
Ste 105B
Ruther Glen, VA 22546
Phone (703) 660-4676

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1679398382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11073 COLONEL ARMISTEAD DR STE 105B",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225463367",
            "telephone_number": "703-660-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11073 COLONEL ARMISTEAD DR STE 105B",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225463367",
            "telephone_number": "703-660-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "ENGOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

Verify at the official NPI Registry.