Specialty Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SPECIALTY HEALTHCARE

Practice address

900 S Main St
Blackstone, VA 23824-2644

Phone

(804) 426-2742

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Kristle Chambers, NP

Title

NP/Owner

Phone

(804) 426-2742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1144870809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4595",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120010",
            "telephone_number": "804-426-2742",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238242644",
            "telephone_number": "804-426-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Scott Dr",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239012662",
            "country_code": "US",
            "telephone_number": "804-426-2742",
            "fax_number": "804-282-9135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KRISTLE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "804-426-2742",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Blackstone, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.