Jotava

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

JOTAVA

Practice address

1607 Titanium Avenue
202
Midlothian, VA 23114

Phone

(804) 379-7186

Fax

(804) 379-7186

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Vernon Oliver, EJD, LCSWNPI 1013056654

Title

Ceo/President

Phone

(804) 247-3195

Specialties & licenses 2

Addresses

Electronic endpoints 2

Practitioners 1

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

• Vernon Oliver, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1013056654
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1174122162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16407 OTTERDALE POINTE DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231201556",
            "telephone_number": "804-247-3195",
            "fax_number": "804-739-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 TITANIUM AVENUE",
            "address_2": "202",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-379-7186",
            "fax_number": "804-379-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOTAVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "804-247-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EJD, LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "16407 Otterdale Pointe Dr",
            "city": "Moseley",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231201556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "secure fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "1607 Titanium Avenue",
            "address_2": "202",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mahala Jordan, LPC
• Eric Lawrence Jorde, PT
• Jose E. Gallegos, D.D.S., P.C.
• Bindu Joseph, AGNP-C
• Josephine S Bohannon (Midlothian Dermatology)
• Journey to Healthy Living
• Alison Joyce
• Rose Mary Joyner-Tiggett, AGPCNP
• JRSJ (James River Joint & Spine)
• Julia S Davis DDS PC

• Case Management Agency in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.