Active NPI
Sweet Haven Health & Wellness LLC
- Family Nurse Practitioner
- Charlottesville, VA
National Provider Identifier
1194364380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SWEET HAVEN HEALTH & WELLNESS LLC
- Practice address
- 2029 Lockwood Dr
Charlottesville, VA 22911-5614 - Phone
- (434) 981-0614
- Fax
- (804) 282-9135
- NPI assigned
- Jan 6, 2020
- Last updated
- Sep 24, 2024
- 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
- Elizabeth Peters, APN
- Title
- Provider
- Phone
- (434) 981-0614
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2029 Lockwood Dr
Charlottesville, VA 22911-5614
Mailing address
PO Box 31494
Richmond, VA 23294-1494
Phone (434) 981-0614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1578268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1194364380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31494",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232941494",
"telephone_number": "434-981-0614",
"fax_number": "804-282-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 LOCKWOOD DR",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229115614",
"telephone_number": "434-981-0614",
"fax_number": "804-282-9135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET HAVEN HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-06",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "434-981-0614",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.