Individual provider Active NPI

Kateria Sha'Kee Carter Washington

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1699375964
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024180476 Issued in VA
Practice address
2809 Emerywood Pkwy
Richmond, VA 23294-3730
Phone
(804) 397-0243
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024180476 VA Primary
Primary Care Nurse Practitioner 363LP2300X F10201151 VA

Addresses

Primary practice location

2809 Emerywood Pkwy
Richmond, VA 23294-3730

Mailing address

PO Box 381
Amelia Court House, VA 23002-0381

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
I20210108001227 VA Practitioner - Nurse Practitioner 9335552488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Twin River Medical Clinic PCGroup PAC ID 7517923790, 8 clinicians
Med MGT Associates of Virginia LLCGroup PAC ID 6406190826, 3 clinicians
Genesis Counseling Center, Inc.Group PAC ID 8729091715, 66 clinicians

Practice addresses (Care Compare)

1012 Winston Churchill Dr
Hopewell, VA 23860-5141
Phone (804) 458-8583

1601 Broad Rock Blvd
Richmond, VA 23224-4923
Phone (888) 365-6271

223 McLaws Cir
Williamsburg, VA 23185-5649
Phone (757) 564-3100

6800 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (888) 365-6271

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.66
Improvement activities
40
Cost
82.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
F10201151VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfull Wellness and Healthcare Services Psychiatric/Mental Health Current Accepting new patients
Genesis Counseling Center, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Twin River Medical Clinic PC CurrentSince Jan 1, 2021 Accepting new patients
Med MGT Associates of Virginia LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

2208 Executive Dr
Hampton, VA 23666
Phone (757) 720-2210

2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055

1012 Winston Churchill Dr
Hopewell, VA 23860
Phone (804) 458-8583

1601 Broad Rock Blvd
Richmond, VA 23224
Phone (540) 982-2860

223 McLaws Cir
Williamsburg, VA 23185
Phone (757) 564-3100

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.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1699375964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230020381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EMERYWOOD PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943730",
            "telephone_number": "804-397-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KATERIA",
        "middle_name": "SHA'KEE CARTER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180476",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "F10201151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.