Peace Rain PMH LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PEACE RAIN PMH LLC

Practice address

8261 Shoppers SQ
Manassas, VA 20111-2176

Phone

(804) 503-7874

NPI assigned

Jun 18, 2022

Organization subpart

No

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

Authorized official

Name

Afua Biyah Addo, PMHNPNPI 1629598289

Title

Dr. Pmhnp, DNP

Phone

(804) 503-7874

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Afua B Addo, NP

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1629598289
  NPD Authorized official

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655510400000",
    "number": "1831820190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 FORMBY ST",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362031",
            "telephone_number": "804-503-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8261 SHOPPERS SQ",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201112176",
            "telephone_number": "804-503-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RAIN PMH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ADDO",
        "authorized_official_first_name": "AFUA",
        "authorized_official_middle_name": "BIYAH",
        "authorized_official_title_or_position": "DR. PMHNP, DNP",
        "authorized_official_telephone_number": "804-503-7874",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shweta Paulraj
• Kathleen Ann Paulter, RN, FNP
• Susan Clair Payne
• Nysa Marinda Paysour, M.D.
• Gabriela Merledith Paz Rodriguez
• Philip R Peacock, DO
• Andrea T Peda, DVM
• Judith C Pederson, MD
• Pediatric Associates of Manassas
• Pediatric Associates of Northern Virginia, P.C.

• Psychiatric/Mental Health Nurse Practitioner in Manassas, VA
• Providers in Manassas, 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 Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.