Nottoway Innovative Medical Solutions

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NOTTOWAY INNOVATIVE MEDICAL SOLUTIONS

Practice address

1279 W 10TH St Ste 116
Blackstone, VA 23824-3071

Phone

(703) 930-0046

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rudel Chinnery

Title

President

Phone

(703) 930-0046

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1003126756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 W 10TH ST STE 116",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238243071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W 10TH ST STE 116",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238243071",
            "telephone_number": "703-930-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTTOWAY INNOVATIVE MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "CHINNERY",
        "authorized_official_first_name": "RUDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-930-0046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantel Latta, FNP-C
• Allison Noel Lee, NP
• Madalyn Rose Lee, MD
• Kelly Myers, LCSW
• Roby Taylor Myers, DC
• Nikhila N Pai
• Phillip D Prater DDD PLLC
• Gabrielle Tiarra Qahhar, NP-C
• Mark George Reitz, D.D.S.
• Emma Rudebusch, MD

• Multi-Specialty Clinic/Center in Blackstone, VA
• Providers in Blackstone, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.