Active NPI
Imperfections Health and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Hampton, VA
National Provider Identifier
1174410039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- IMPERFECTIONS HEALTH AND WELLNESS LLC
- Practice address
- 29 S. Mallory Street
Suite 203
Hampton, VA 23663 - Phone
- (757) 453-5868
- NPI assigned
- Jun 23, 2025
- Last updated
- Aug 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tikeama Buckingham, FNP-BC
- Title
- Owner
- Phone
- (716) 548-8644
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
29 S. Mallory Street
Suite 203
Hampton, VA 23663
Mailing address
29 S. Mallory Street
Suite 203
Hampton, VA 23663
Phone (757) 453-5868
National Provider Directory
National Provider DirectoryLocations
29 S Mallory St
Ste 203
Hampton, VA 23663
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Newport News, VA
- NPI 1255725016
-
- Nurse Practitioner
- Virginia Beach, VA
- NPI 1073962890
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1174410039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 S. MALLORY STREET",
"address_2": "SUITE 203",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23663",
"telephone_number": "757-453-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 S. MALLORY STREET",
"address_2": "SUITE 203",
"city": "HAMPTON",
"state": "VA",
"postal_code": "23663",
"telephone_number": "757-453-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERFECTIONS HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "BUCKINGHAM",
"authorized_official_first_name": "TIKEAMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-548-8644",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.