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KETAVIA
NPI 1629936703
Nurse Practitioner - Psychiatric/Mental Health in Midlothian, VA

Active since January 15, 2026
5309 COMMONWEALTH CENTRE PKWY STE 105, MIDLOTHIAN, VA 23112(804) 940-8959(804) 308-3362 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2026, Jan 15, 2026 (2 updates tracked since 2026).

About Ketavia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAVIA (NPI 1629936703) is a healthcare organization registered as a psychiatric/mental health in Midlothian, Virginia and active in the NPI registry since January 2026. The organization lists Keisha Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1629936703
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKETAVIA
Location Address5309 COMMONWEALTH CENTRE PKWY STE 105Midlothian, VA 23112-2633
Mailing Address5309 Commonwealth Centre Pkwy Ste 103Midlothian, VA 23112-2633 · (804) 940-8959 · Fax (804) 308-3362
Phone(804) 940-8959
Fax(804) 308-3362
Organization SubpartNo
Authorized OfficialKeisha LopezOwner · (804) 308-3403
Enumeration DateJanuary 15, 2026
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1629936703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
5309 COMMONWEALTH CENTRE PKWY STE 105, Midlothian, VA 23112
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RECLAIM U HEALTH AND WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
5309 COMMONWEALTH CENTRE PKWY STE 105
MIDLOTHIAN, VA 23112
Chesterfield County (804) 215-6555
KEISHA RONNELLE LOPEZ NP
Nurse Practitioner (Psychiatric/Mental Health)
5309 COMMONWEALTH CENTRE PKWY STE 105
MIDLOTHIAN, VA 23112
Chesterfield County (804) 215-6555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketavia's NPI number?

The NPI number for Ketavia is 1629936703. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Ketavia located?

Ketavia is located at 5309 Commonwealth Centre Pkwy Ste 105, Midlothian, VA 23112. The listed phone number is (804) 940-8959.

What is Ketavia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ketavia was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.