Organization Active NPI

Oasis Wellness Care LLC

  • Family Nurse Practitioner
  • Cedar Bluff, VA
National Provider Identifier
1003647454
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1366193443MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105003695 VA Part B Supplier - Clinic/Group Practice 2062946619 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Bluff, VA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.