Active NPI
Brenda Halstead, NP
- Acute Care Nurse Practitioner
- Richmond, VA
National Provider Identifier
1992765259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024164577
- Practice address
- 2201 E Main St
Suite 201
Richmond, VA 23223-7071 - Phone
- (804) 643-3061
- Fax
- (804) 643-3817
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
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.
-
- Rheumatology Physician
- Midlothian, VA
- NPI 1922366012
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Virginia Commonwealth University, School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Mid-Atlantic Kidney Center
Practice addresses (Care Compare)
203 E Cary St
Suite 201
Richmond, VA 23219-3746
Phone (804) 643-3061
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111026000105 | VA | Practitioner - Nurse Practitioner | 8123291887 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024164577 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Arthritis and Rheumatology Care, PC | Past | Accepting new patients |
Interoperability endpoints
- brenda.k.halstead@direct.davitaphysiciansolutions.com
- https://fhir4.healow.com/fhir/r4/AAJACD
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024164577 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2201 E Main St
Suite 201
Richmond, VA 23223-7071
Mailing address
2201 E Main St
Suite 201
Richmond, VA 23223-7071
Phone (804) 643-3061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2008.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1992765259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 E MAIN ST",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237071",
"telephone_number": "804-643-3061",
"fax_number": "804-643-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 E MAIN ST",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237071",
"telephone_number": "804-643-3061",
"fax_number": "804-643-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "BRENDA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024164577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.