Organization Active NPI

Wellfamily Medicine

  • Family Medicine Physician
  • Charlottesville, VA
National Provider Identifier
1013411842
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101246861 Issued in VA
Legal business name
WELLFAMILY MEDICINE
Practice address
1885 Seminole TRL Ste 105
Charlottesville, VA 22901-1160
Phone
(434) 962-6234
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. Kaitlyn Anne Beisecker-Levin, MD
Title
Medical Director
Phone
(434) 962-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101246861 VA Primary

Addresses

Primary practice location

1885 Seminole TRL Ste 105
Charlottesville, VA 22901-1160

Mailing address

1885 Seminole TRL Ste 105
Charlottesville, VA 22901-1160
Phone (434) 962-6234

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2147884Wellfamily Medicine1885 Seminole Trail - Suite 105, Charlottesville, VA 22901Provider-performed microscopyApr 29, 2028

National Provider Directory

National Provider Directory

Locations

1885 Seminole Trl
Ste 105
Charlottesvle, VA 22901
Phone (434) 260-5800

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1013411842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 SEMINOLE TRL STE 105",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011160",
            "telephone_number": "434-962-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 SEMINOLE TRL STE 105",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011160",
            "telephone_number": "434-962-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLFAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "BEISECKER-LEVIN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "434-962-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.