Organization Active NPI

Imperfections Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1174410039
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Tikeama Buckingham, FNP-BCNPI 1255725016
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.