Alliance Family Practice, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0024131004 Issued in VA

Legal business name

ALLIANCE FAMILY PRACTICE, INC

Practice address

119 W Brookland Park Blvd
Richmond, VA 23222-2633

Phone

(804) 304-6324

NPI assigned

Apr 15, 2018

Last updated

Apr 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evelyn Hall-Harris, NP

Title

Office Manager

Phone

(804) 304-6324

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1114414299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W BROOKLAND PARK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222633",
            "telephone_number": "804-304-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W BROOKLAND PARK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222633",
            "telephone_number": "804-304-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-15",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "HALL-HARRIS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-304-6324",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "VA",
            "license": "0024131004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346332533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alliance Physician Services PLLC

• General Practice Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; 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.