Active NPI
Oasis Wellness Care LLC
- Family Nurse Practitioner
- Cedar Bluff, VA
National Provider Identifier
1003647454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OASIS WELLNESS CARE LLC
- Practice address
- 1051 Claypool Hill Mall Rd Ste 20
Cedar Bluff, VA 24609-8200 - Phone
- (276) 345-4688
- Fax
- (246) 304-4150
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- 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
- Grace Blankenship
- Title
- Office Manager
- Phone
- (276) 701-7389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1051 Claypool Hill Mall Rd Ste 20
Cedar Bluff, VA 24609-8200
Mailing address
1051 Claypool Hill Mall Rd Ste 20
Cedar Bluff, VA 24609-8200
Phone (276) 345-4688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366193443 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1051 Claypool Hill Mall Rd
Cedar Bluff, VA 24609
Phone (276) 701-7389
1051 Claypool Hill Mall Rd
Ste 20
Cedar Bluff, VA 24609
Phone (276) 345-4688
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Cedar Bluff, VA
- NPI 1366193443
-
- Nurse Practitioner
- Reston, VA
- NPI 1174015614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1003647454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 CLAYPOOL HILL MALL RD STE 20",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246098200",
"telephone_number": "276-345-4688",
"fax_number": "246-304-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 CLAYPOOL HILL MALL RD STE 20",
"city": "CEDAR BLUFF",
"state": "VA",
"postal_code": "246098200",
"telephone_number": "276-345-4688",
"fax_number": "246-304-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS WELLNESS CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "GRACE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "276-701-7389"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366193443",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Bluff, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.