Organization Active NPI

Momentum Care Solutions, LLC

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1023638657
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
MOMENTUM CARE SOLUTIONS, LLC
Practice address
8001 Franklin Farms Dr RM 127
Richmond, VA 23229-5100
Phone
(804) 282-9133
Fax
(804) 282-9135
NPI assigned
Apr 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Tracy T Germaine, NP
Title
Authorized Official / President
Phone
(804) 445-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

8001 Franklin Farms Dr RM 127
Richmond, VA 23229-5100

Mailing address

PO Box 226
Caret, VA 22436-0226
Phone (804) 445-5622

Other identifiers 1

IdentifierTypeStateIssuer
0024172774OtherVAVIRGINIA MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1023638657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "CARET",
            "state": "VA",
            "postal_code": "224360226",
            "telephone_number": "804-445-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR RM 127",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295100",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "GERMAINE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / PRESIDENT",
        "authorized_official_telephone_number": "804-445-5622",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAL LICENSE",
            "identifier": "0024172774",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.