KIMBERLY MICHELLE CRAIN APRNFNP-CPMHNP-BC NPI 1669726659

NPI Information

NPI: 1669726659
Provider Name: KIMBERLY MICHELLE CRAIN, APRN,FNP-C,PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA
ZIP 23518
Phone: (757) 587-4744
Get Directions

Kimberly Michelle Crain, APRN,FNP-C,PMHNP-BC is a psychiatric/mental health nurse practitioner in Norfolk, VA with 12 years of experience. Kimberly Michelle Crain, APRN,FNP-C,PMHNP-BC NPI is 1669726659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E LITTLE CREEK RD STE 205
NORFOLK, VA
ZIP 23518-137
Phone: (757) 587-4744

The NPI 1669726659 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 10/30/2012 and was last updated on 2/13/2024.

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	363LF0000X	Nurse Practitioner	Family	0024170600	VIRGINIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024170600	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1669726659	MEDICAID	NORTH CAROLINA
2	1669726659	OTHER	VIRGINIA	USA MANAGED CARE
3	1669726659	OTHER	VIRGINIA	CORVEL
4	1669726659	MEDICAID	VIRGINIA
5	1669726659	OTHER	VIRGINIA	OPTIMA HEALTH
6	1669726659	OTHER	VIRGINIA	VIRGINIA PREMIER HEALTH PLAN
7	1669726659	OTHER	VIRGINIA	TRICARE/CHAMPUS
8	1669726659	OTHER	VIRGINIA	MULTIPLAN

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: 4/28/2024

NPI Synchronization or Removal

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