Firstcare Flu & Wellness, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0102201555 Issued in VA

Legal business name

FIRSTCARE FLU & WELLNESS, LLC

Practice address

1751 Pinnacle Dr
Suite 600
MC Lean, VA 22102-4903

Phone

(800) 750-2019

Fax

(909) 295-3142

NPI assigned

Feb 25, 2016

Last updated

Feb 25, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRSTCARE WELLNESS GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mr. Wilton Ricardo Scott

Title

Ceo

Phone

(909) 784-2203

Specialties & licenses 7

Addresses

Other names 1

• FirstCare GovSolutions Other name

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1093175663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 PINNACLE DR",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024903",
            "telephone_number": "800-750-2019",
            "fax_number": "909-295-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 PINNACLE DR",
            "address_2": "SUITE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024903",
            "telephone_number": "800-750-2019",
            "fax_number": "909-295-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE FLU & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTCARE WELLNESS GROUP, INC.",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "WILTON",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-784-2203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0102201555",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0102201555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstCare GovSolutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Alexis Ferrufino
• Lori L. Fessler, BCBA
• Rosemarie Filart, M.D.
• Carly Finneran
• Fathima H Firdose
• Leah L Fisher, MA, CCC-SLP
• Nina M Fisher, MD
• Fishhat Inc (Medicine Chest Pharmacy)
• David Alan Fissel, O.D.
• Fit Pro Massage, LLC

• Health Maintenance Organization in McLean, VA
• Providers in McLean, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.