Active NPI
Cecilia Lonnette Eddy
- Religious Nonmedical Nursing Personnel
- Hampton, VA
National Provider Identifier
1013126465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- Practice address
- 812 Victoria Blvd
Hampton, VA 23661-2538 - Phone
- (757) 223-0163
- Fax
- (757) 310-6223
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | VA | Primary |
Addresses
Primary practice location
812 Victoria Blvd
Hampton, VA 23661-2538
Mailing address
812 Victoria Blvd
Hampton, VA 23661-2538
Phone (757) 223-0163
Other names 1
- Cecilia Lonnette Sedgwick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002075672 | VA | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013126465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 VICTORIA BLVD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236612538",
"telephone_number": "757-223-0163",
"fax_number": "757-310-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 VICTORIA BLVD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236612538",
"telephone_number": "757-223-0163",
"fax_number": "757-310-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "CECILIA",
"middle_name": "LONNETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CECILIA",
"last_name": "SEDGWICK",
"middle_name": "LONNETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.