| Katie Martin Pruitt, PMHNP | |
|
1970 Roanoke Blvd, Salem, VA 24153-6404 | |
| (540) 982-2463 | |
| Not Available |
| Full Name | Katie Martin Pruitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1970 Roanoke Blvd, Salem, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215641071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186013 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Care And Resiliency, Pllc | 5395135420 | 7 |
| Entity Name | Center For Care And Resiliency, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053902742 PECOS PAC ID: 5395135420 Enrollment ID: O20211206000201 |
| Entity Name | Jlc Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417739699 PECOS PAC ID: 3870931322 Enrollment ID: O20250106000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Martin Pruitt, PMHNP 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 | Katie Martin Pruitt, PMHNP 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 |
Tanya Willard, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mrs. Elizabeth Black O'connor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Megan Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 | |
Matthew Bailey, ACNP, FNP, ENP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-776-4000 | |
Deborah Edwards Davis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3580 Fax: 540-725-5012 | |
Mrs. Greta Pablo Estacio, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1937 | |
Miss Kimberly Charise Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3400 |