NPIMap

Organization Active NPI

Hampton University Health Center

  • Family Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1154576759
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024164147 Issued in VA
Legal business name
HAMPTON UNIVERSITY HEALTH CENTER
Practice address
55 East Tyler Street
Hampton, VA 23668
Phone
(757) 727-5315
Fax
(757) 728-6612
NPI assigned
Nov 24, 2008
Last updated
Jan 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Dr. Bert W Holmes Jr., MD
Title
Director
Phone
(757) 727-5315

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 0001068591 VA
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 0001048383 VA
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 0001056106 VA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 0024164147 VA Primary

Addresses

Primary practice location

55 East Tyler Street
Hampton, VA 23668

Mailing address

55 East Tyler Street
Hampton, VA 23668
Phone (757) 727-5315

Other names 1

  • Hampton University Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Medication Therapy Management Outcomes Research2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 William R Harvey Way
Hampton, VA 23669
Phone (757) 727-5315

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1154576759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EAST TYLER STREET",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23668",
            "telephone_number": "757-727-5315",
            "fax_number": "757-728-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 EAST TYLER STREET",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23668",
            "telephone_number": "757-727-5315",
            "fax_number": "757-728-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON UNIVERSITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-727-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001068591",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001048383",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001056106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hampton University",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.