Individual provider Active NPI

Caroline M. Isoe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1902310147
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024175336 Issued in VA
Practice address
5131 River Club Dr Ste 200
Suffolk, VA 23435-3837
Phone
(804) 207-6737
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175336 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024175336 VA Primary

Addresses

Primary practice location

5131 River Club Dr Ste 200
Suffolk, VA 23435-3837

Mailing address

5131 River Club Dr Ste 200
Suffolk, VA 23435-3837
Phone (804) 207-6737

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
I20250726000174 VA Practitioner - Nurse Practitioner 2860909728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

5131 River Club Dr
Suite 200
Suffolk, VA 23435-3837
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024175336VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Sobriety & Suboxone Holistic Services Psychiatric/Mental Health CurrentSince Jan 19, 2026 Accepting new patients

Locations

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

5131 River Club Dr
Ste 200
Suffolk, VA 23435
Phone (757) 792-9756

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.carolineisoe@134000.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1902310147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 RIVER CLUB DR STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353837",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 RIVER CLUB DR STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353837",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOE",
        "first_name": "CAROLINE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175336",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.