Active NPI
Crown and Soul Primary Care and Wellness Center
- Primary Care Clinic/Center
- Williamsburg, VA
National Provider Identifier
1003545997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CROWN AND SOUL PRIMARY CARE AND WELLNESS CENTER
- Practice address
- 7151 Richmond Rd
Williamsburg, VA 23188-7234 - Phone
- (757) 561-8014
- NPI assigned
- Jun 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Michael Morgan, FNP
- Title
- Ceo
- Phone
- (757) 561-8014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7151 Richmond Rd
Williamsburg, VA 23188-7234
Mailing address
3515 Winslow CT
Toano, VA 23168-9358
Phone (757) 561-8014
National Provider Directory
National Provider DirectoryLocations
7151 Richmond Rd
Williamsburg, VA 23188
Phone (757) 258-7778
Interoperability endpoints
- https://api.platform.athenahealth.com/27189/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Williamsburg, VA
- NPI 1588248074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654560000000",
"number": "1003545997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 WINSLOW CT",
"city": "TOANO",
"state": "VA",
"postal_code": "231689358",
"telephone_number": "757-561-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7151 RICHMOND RD",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231887234",
"telephone_number": "757-561-8014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWN AND SOUL PRIMARY CARE AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-561-8014",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.