Organization Active NPI

Life Over Pain Neuropathy Center LLC

  • Integrative Medicine Physician
  • Midlothian, VA
National Provider Identifier
1023633963
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
LIFE OVER PAIN NEUROPATHY CENTER LLC
Practice address
11039 Hull Street Rd
Midlothian, VA 23112-3254
Phone
(804) 658-3483
Fax
(888) 628-6488
NPI assigned
Jun 16, 2020
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Janelle Simpson
Title
Practice Administrator/ Cfo
Phone
(804) 745-8745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X NU Primary

Addresses

Primary practice location

11039 Hull Street Rd
Midlothian, VA 23112-3254

Mailing address

11039 Hull Street Rd
Midlothian, VA 23112-3254
Phone (804) 745-8745

Other practice location 1

11037 Hull Street Rd
Midlothian, VA 23112-3254
Phone (804) 745-8745

National Provider Directory

National Provider Directory

Locations

11039 Hull Street Rd
Midlothian, VA 23112
Phone (804) 658-3483

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1023633963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11039 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-745-8745",
            "fax_number": "888-628-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11039 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123254",
            "telephone_number": "804-658-3483",
            "fax_number": "888-628-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11037 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231123254",
            "country_code": "US",
            "telephone_number": "804-745-8745",
            "fax_number": "888-628-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE OVER PAIN NEUROPATHY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/ CFO",
        "authorized_official_telephone_number": "804-745-8745"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.