Jayasudha Paramasivam

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001286361 Issued in VA

Practice address

16808 Thornapple Run
Moseley, VA 23120-2319

Phone

(804) 926-7975

NPI assigned

Apr 10, 2024

Last updated

Jun 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Henrico Area Mental Heatlh and Developmental Services

  dba Henrico Area Mental Health & Developmental Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1023119773
  Medicare reassignment NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1821841545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 THORNAPPLE RUN",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202319",
            "telephone_number": "804-926-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16808 THORNAPPLE RUN",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202319",
            "telephone_number": "804-926-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAMASIVAM",
        "first_name": "JAYASUDHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190275",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001286361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tulany Mupandasekwa, NP
• N'Ergy, LLC
• New Alliance Family Services, LLC
• Kelley Yvette Olds, PHD, LPC
• Jessica Ruth Orange
• Neha Patel
• Umeshkumar Patel
• Pathway Consulting LLC
• PCC Transportation LLC
• Tiffani Cheree Pendleton, NP-C

• Registered Nurse in Moseley, VA
• Providers in Moseley, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.