Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketavia

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629936703

Ketavia is a Psychiatric/Mental Health Nurse Practitioner in Midlothian, Virginia. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5309 Commonwealth Centre Pkwy Ste 105
Midlothian, VA 23112-2633
Phone: (804) 940-8959
Fax: (804) 308-3362
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1629936703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keisha Lopez — Owner · (804) 308-3403
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address5309 Commonwealth Centre Pkwy Ste 103, Midlothian, VA 23112-2633

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