Naomi Myrick

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024177963 Issued in VA

Practice address

601 N Mechanic St
Franklin, VA 23851-1455

Phone

(757) 653-4131

Fax

(619) 374-4204

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: commonwealthcounselingassociates.naomimyrick@134000.advancedmd-direct.com

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.

• Cardinal Care Psychiatric Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, VA
  • NPI 1700486099

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Coastal Medical and Psychiatric Services Inc.

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1134460132
  Medicare reassignment NPD
• Mid Atlantic Long Term Specialty Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
  • NPI 1851909998
  Medicare reassignment NPD
• You Matter Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1285494245
  NPD
• Unique Holistic Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1518415538
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1700430733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BROAD ST UNIT 536",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304948",
            "telephone_number": "757-653-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N MECHANIC ST",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511455",
            "telephone_number": "757-653-4131",
            "fax_number": "619-374-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "NAOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177963",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700430733",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nmyricknp@gmail.com",
            "affiliation": "N",
            "address_1": "210 Stewart Dr",
            "city": "Franklin",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238512456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelley Mitchell, PT, DPT
• Nebojsa Nash Mitrovic, MD
• Olivia Rae Mohan, D.O.
• Mounds Dialysis LLC
• Ms Imaging Inc.
• Nannie Home Health Care, Inc.
• Nannie Home Healthcare, Inc
• Donna J Neder, MA, LPC
• New Hope Family & Youth Relations, Inc.
• New Hope Family Youth Relations, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Franklin, VA
• Providers in Franklin, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.