Keep It Simple BH , PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Glade Hill, VA
NPI 1992422174 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1992422174
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- KEEP IT SIMPLE BH , PLLC
- Practice address
- 130 Lakeside LN
Glade Hill, VA 24092-3980 - Phone
- (540) 484-3929
- NPI assigned
- Oct 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Marlene Adams, FNP, PMHNP-C
- Title
- Owner
- Phone
- (540) 484-3929
Practitioners 1
-
Marlene Marie Adams, P.M.H.N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221222001259 | VA | Part B Supplier - Clinic/Group Practice | 0143690735 |
Receives reassigned benefits from 1 practitioner Practice locations: Glade Hill, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
130 Lakeside LN
Glade Hill, VA 24092-3980
Mailing address
130 Lakeside LN
Glade Hill, VA 24092-3980
Phone (540) 484-3929
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All providers in Glade Hill, 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 Oct 27, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.