Greenbrier Family Practice, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101039112 Issued in VA

Legal business name

GREENBRIER FAMILY PRACTICE, P.C.

Practice address

1021 Eden Way N Ste 109
Chesapeake, VA 23320-2776

Phone

(757) 547-0999

Fax

(757) 547-0770

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Lisa Shea Kennedy, M.D.

Title

President

Phone

(757) 547-0999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1174793400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N STE 109",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202776",
            "telephone_number": "757-547-0999",
            "fax_number": "757-547-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 EDEN WAY N STE 109",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202776",
            "telephone_number": "757-547-0999",
            "fax_number": "757-547-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER FAMILY PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-547-0999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascale Green, RBT
• Sheryll Lafay Green, LPC
• Trinity Green, DPT, PT
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• Greenbrier Health and Wellness Center LLC (Greenbrier Health and Wellness)
• Greenbrier Obstetrics and Gynecology, P. C.
• Greenbrier Rehabilitation Services
• Greenbrier SNF Operations LLC (Deep Creek Health & Rehabilitation)
• Greenbrier Surgical Associates PC

• Family Medicine Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.