Keisha Ronnelle Lopez, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024193916 Issued in VA

Practice address

5309 Commonwealth Centre Pkwy Ste 105
Midlothian, VA 23112-2633

Phone

(804) 215-6555

NPI assigned

Jul 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Psych Associates of Maryland LLC

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC, VA

  Medicare reassignment NPD
• Ketavia

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1629936703

  Psychiatric/Mental Health

  NPD Authorized official
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  VA

  Medicare reassignment
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  VA

  Medicare reassignment
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD (past)
• Reclaim U Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
  • NPI 1497673230

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1821980509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 STERLING COVE DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238385158",
            "telephone_number": "804-482-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 COMMONWEALTH CENTRE PKWY STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122633",
            "telephone_number": "804-215-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KEISHA",
        "middle_name": "RONNELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Logsdon, MPT
• Allison Marie Longest, MSN, AGACNP-BC
• Longevite Health and Wellness
• Samuel James Longo, PT, DPT
• Yaquelin Lopez Garcia, DPT
• Shelli Clemens Lord-Pawson, PEERRECOVERYSPECIALI
• Clay Ashley Loucks, MD
• Melanie Loucks, BCABA
• Hong Nhung Thi Loughman, MA, BCBA,LBA
• McKayla Loughrey, MSW

• All providers in Midlothian, VA
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.