Active NPI
Wellfamily Medicine
- Family Medicine Physician
- Charlottesville, VA
National Provider Identifier
1013411842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101246861
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2147884 | Wellfamily Medicine | Provider-performed microscopy | Apr 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.