NPIMap

Organization Active NPI

Virginia Beach Department of Public Health

  • Public Health or Welfare Agency
  • Virginia Beach, VA
National Provider Identifier
1053362996
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
VIRGINIA BEACH DEPARTMENT OF PUBLIC HEALTH
Practice address
4452 Corporation LN
Pembroke Corporate Center III
Virginia Beach, VA 23462-3173
Phone
(757) 518-2660
Fax
(757) 518-2645
NPI assigned
May 15, 2006
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. Heidi A. Kulberg, M.D., MPH
Title
Health Director
Phone
(757) 518-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

4452 Corporation LN
Pembroke Corporate Center III
Virginia Beach, VA 23462-3173

Mailing address

4452 Corporation LN
Pembroke Corporate Center III
Virginia Beach, VA 23462-3173
Phone (757) 518-2660

Other identifiers 1

IdentifierTypeStateIssuer
004976185MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000414 VA Part B Supplier - Public Health/Welfare Agency 0547174369 Receives reassigned benefits from 6 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Dickenson Co Health Dep163 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1053362996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 CORPORATION LN",
            "address_2": "PEMBROKE CORPORATE CENTER III",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623173",
            "telephone_number": "757-518-2660",
            "fax_number": "757-518-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 CORPORATION LN",
            "address_2": "PEMBROKE CORPORATE CENTER III",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623173",
            "telephone_number": "757-518-2660",
            "fax_number": "757-518-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "KULBERG",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "757-518-2630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004976185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.