Individual provider Active NPI

Angela Marie Allen, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smithfield, VA
National Provider Identifier
1821481995
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024172426 Issued in VA
Practice address
1801 S Church St Ste 2
Smithfield, VA 23430-1858
Phone
(757) 793-9483
NPI assigned
Mar 12, 2015
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172426 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024172426 VA Primary

Addresses

Primary practice location

1801 S Church St Ste 2
Smithfield, VA 23430-1858

Mailing address

1801 S Church St Ste 2
Smithfield, VA 23430-1858
Phone (757) 793-9483

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
I20150514002935 VA Practitioner - Nurse Practitioner 8820318876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1801 S Church St
Suite 2
Smithfield, VA 23430-1858
Phone (757) 793-9483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172426VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Physical Therapy, LLC CurrentSince Aug 25, 2020 Accepting new patients
Focused Psychiatric and Mental Health Care Services, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2020 Accepting new patients
Mid Atlantic Long Term Specialty Care LLC Psychiatric/Mental Health CurrentSince Oct 1, 2020 Accepting new patients
Charis Mental Health, PLLC Family CurrentSince Jun 1, 2018 Accepting new patients

Locations

6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885

1801 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 509-1725

2470 Pruden Blvd
Suffolk, VA 23434
Phone (757) 539-1503

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, 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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1821481995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S CHURCH ST STE 2",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301858",
            "telephone_number": "757-793-9483",
            "fax_number": "757-793-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S CHURCH ST STE 2",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301858",
            "telephone_number": "757-793-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172426",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024172426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, VA

Sources for this page

Verify at the official NPI Registry.