Megan Jean Zamora
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Halifax, VA
NPI 1992354476 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1992354476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024178166 (VA)
- Practice address
- 5037 Halifax Rd Ste U4
Halifax, VA 24558-3243 - Phone
- (434) 303-2300
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
490 Buena Vista Dr
Halifax, VA 24558-2152
Phone (434) 303-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191203000140 | VA | Practitioner - Nurse Practitioner | 0749613982 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024178166 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Current |
Accepting new patients | |
| Mental Swellness | Psychiatric/Mental Health | Current |
Accepting new patients |
| In Harmony Wellness Ihw LLC | Current |
Accepting new patients |
Locations
523 Madison St
Boydton, VA 23917
Phone (434) 738-0154
143 Industrial Pkwy
Clarksville, VA 23927
Phone (434) 572-6916
5037 Halifax Rd
Ste U4
Halifax, VA 24558
Phone (434) 303-2300
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024178166 | VA | Yes |
Addresses
Primary practice location
5037 Halifax Rd Ste U4
Halifax, VA 24558-3243
Mailing address
PO Box 253
Halifax, VA 24558-0253
Phone (434) 303-2300
Other practice location 1
5037 Halifax Rd Ste U4
Halifax, VA 24558-3243
Phone (434) 303-2300
Other names
- Megan Jean Staples
Other providers in Halifax, VA
- Strategic Therapy Associates
- Herman Lee Thomas Jr.
- Bettina H Walker
- White Oak Primary Care, Inc.
- Youngers Adult Home
All providers in Halifax, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.