Anew Divine Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANEW DIVINE HEALTHCARE LLC

Practice address

2913 River Rd W Ste K
Goochland, VA 23063-3263

Phone

(804) 658-8584

NPI assigned

May 18, 2023

Organization subpart

No

Name

Amy D Norris

Title

President/Owner

Phone

(804) 658-8584

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia J Booten, F.N.P.

  • Nurse Practitioner
  • Colonial Heights, VA
  • NPI 1003989351

  Family Medicine, VA

  Medicare reassignment NPD
• Ellen Joann Scarlett, FNP-C

  • Registered Nurse
  • Woodford, VA
  • NPI 1164019352

  VA

  Medicare reassignment NPD
• Russell Johnson

  • Specialist
  • Petersburg, VA
  • NPI 1447205554
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2023.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1124719232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630082",
            "telephone_number": "804-658-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 RIVER RD W STE K",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633263",
            "telephone_number": "804-658-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW DIVINE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "804-658-8584"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Abell, LCSW
• Amedisys Home Health of Virginia LLC
• Abigail Arnold, MSW, LCSW
• Ruth D Baldwin, LCSW, MSW, BSN, RN
• Maegan Olivia Beck, SUPERVISEE IN SW
• Melissa Olson Black, M.S., A.T.C.
• Yelena Y Boguslavsky, NP

• All providers in Goochland, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.