Jamie Deresa Hall, F. N.P., G.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0001073929 Issued in VA

Practice address

340 Bagley Circle
Southwestern Virginia Mental Health Institute
Marion, VA 24354-9998

Phone

(276) 783-1200

NPI assigned

May 17, 2006

Last updated

Dec 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1841242526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "address_2": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-783-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BAGLEY CIRCLE",
            "address_2": "SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243549998",
            "telephone_number": "276-783-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JAMIE",
        "middle_name": "DERESA",
        "name_prefix": "Ms.",
        "credential": "F. N.P., G.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001073929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010261546",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Greer, COTA/L
• Kelley K Haga, L.P.T.A., A.T.C.
• Joshua Michael Hale, LPC
• Robert Lee Hale, M.D.
• April Dawn Hutton Hall, LPC
• Kenneth Dale Hall, RPH
• Sherri B Hall, NP-C
• Chelsea Coffey Hamman, MD
• Anne Tryon Hanlon, SLP
• Todd T Hannula, MD

• Nurse Practitioner in Marion, VA
• Providers in Marion, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.