Individual provider Active NPI

Jessica L Adams, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1841484060
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024167500 Issued in VA
Practice address
825 Diligence Dr
Suite 206
Newport News, VA 23606-4211
Phone
(757) 310-6900
Fax
(757) 240-5936
NPI assigned
Aug 30, 2007
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024167500 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024167500 VA Primary

Addresses

Primary practice location

825 Diligence Dr
Suite 206
Newport News, VA 23606-4211

Mailing address

825 Diligence Dr
Suite 206
Newport News, VA 23606-4211
Phone (757) 310-6900

Other identifiers 2

IdentifierTypeStateIssuer
0024167500OtherVANP NUMBER
001718939OtherVARX AUTHORIZATION

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
I20080325000557 VA Practitioner - Nurse Practitioner 7618053067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical and Psychiatric Services IncGroup PAC ID 4183948060, 19 clinicians

Practice addresses (Care Compare)

825 Diligence Dr
Suite 206
Newport News, VA 23606-4272
Phone (757) 310-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024167500VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical and Psychiatric Services Inc. CurrentSince Nov 26, 2014 Accepting new patients
Coastal Medical and Psychiatric Services, Inc. Current Accepting new patients
Atlantic Psychiatric Services Past Accepting new patients
TMS Neurohealth Centers Virginia Beach, LLC PastSince May 24, 2015 Accepting new patients

Locations

825 Diligence Dr
Ste 100
Newport News, VA 23606
Phone (757) 268-7612

825 Diligence Dr
Ste 206
Newport News, VA 23606
Phone (757) 310-6900

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1841484060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR",
            "address_2": "SUITE 206",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064211",
            "telephone_number": "757-310-6900",
            "fax_number": "757-240-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR",
            "address_2": "SUITE 206",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064211",
            "telephone_number": "757-310-6900",
            "fax_number": "757-240-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024167500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024167500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP NUMBER",
            "identifier": "0024167500",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX AUTHORIZATION",
            "identifier": "001718939",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.