MR. JAMES EDWARD REASOR PMHNP PMHCNS NPI 1104024652

NPI Information

NPI: 1104024652
Provider Name: MR. JAMES EDWARD REASOR, PMHNP, PMHCNS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708
Phone: (757) 953-8383
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MR. James Edward Reasor, PMHNP, PMHCNS is a psychiatric/mental health nurse practitioner in Portsmouth, VA with 18 years of experience. MR. James Edward Reasor, PMHNP, PMHCNS NPI is 1104024652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23708-111
Phone: (757) 953-8383
Fax: (757) 953-8186

The NPI 1104024652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 4/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	0015000847	VIRGINIA	No
2	163W00000X	Registered Nurse		0001138067	VIRGINIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024167448	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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