LITE AND FREE, INC. (NPI# 1114539780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539780 |
| Entity Type | Organization |
| Organization Name | LITE AND FREE, INC. |
| Practice Address |
9157 Atlee Rd Ste A Mechanicsville VA 23116-2504 |
| Practice Telephone | 8049914197 |
| Practice Fax Number | 8047235421 |
| Mailing Telephone | 8049914197 |
| Mailing Fax Number | 8047235421 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | DR. KIMBERLY FARLEY (PRESIDENT) |
| Authorized Official Telephone | 8049914197 |
| Authorized Official Credential | DNP, PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14563827 | 01 |
| Street Address |
9157 ATLEE RD STE A |
| City | MECHANICSVILLE |
| State | VA |
| Zip Code | 23116-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696689 | Kelly Marie Chadwick | Social Worker | 9157 Atlee Rd Ste A, Mechanicsville, VA 23116-2504 | 2017-01-26 |
| 1487146510 | Pack Light Counseling, LLC | Social Worker | 9157 Atlee Rd Ste A, Mechanicsville, VA 23116 | 2018-06-04 |
| 1811488224 | Kelly M. Chadwick, Lcsw, LLC | Social Worker | 9157 Atlee Rd Ste A, Mechanicsville, VA 23116 | 2018-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131664 | Orthovirginia, Inc | Physician Assistant | 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 | 2019-12-12 |
| 1558915702 | Rachelle Lamaris Smith | Counselor | 7611 Magazine Drive, Mechanicsville, VA 23116 | 2019-07-26 |
| 1467004952 | Katherine Romero-davis | Speech-Language Pathologist | Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 | 2019-07-15 |
| 1275092850 | Melissa Harp Harden | Occupational Therapist | 9366 Count Kristopher Dr, Mechanicsville, VA 23116 | 2019-03-13 |
| 1467969105 | Lynsey Marie Preisner | Physician Assistant | 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 | 2018-01-03 |
| 1912437526 | Kim S Hammonds | Nurse Practitioner | 8102 Braxton Court, Mechanicsville, VA 23116 | 2017-06-15 |
| 1023547528 | Gina Elysia Wurfel | Social Worker | 9126 Ashlar Pl, Mechanicsville, VA 23116 | 2017-06-08 |
| 1063945624 | Lisa Gervasoni | Occupational Therapist | 8254 Attlee Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1679006308 | Kerri Eggleston | Physical Therapist | 8226 Meadowbridge Road, Mechanicsville, VA 23116 | 2017-04-10 |
| 1659823466 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 | 2016-10-27 |
| Find all providers in zip 23116 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538645015 | Diana Boutte | Nurse Practitioner | 7489 Right Flank Rd, Mechanicsville, VA 23116-3845 | 2018-07-17 |
| 1831637990 | Olivia Reichenbacker | Nurse Practitioner | 7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSVILLE |
| Zip Code | 23116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.