Active NPI
Our Summer Place,LLC
- Point of Service
- Portsmouth, VA
National Provider Identifier
1194839704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 558
- Legal business name
- OUR SUMMER PLACE,LLC
- Practice address
- 3511 Blaine St
Portsmouth, VA 23703-3115 - Phone
- (757) 483-4880
- Fax
- (757) 483-1578
- NPI assigned
- Aug 19, 2006
- 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
- Mrs. Zatera A Spencer
- Title
- Owner/Administrator
- Phone
- (757) 966-9978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 558 | VA | Primary |
Addresses
Primary practice location
3511 Blaine St
Portsmouth, VA 23703-3115
Mailing address
PO Box 3221
Portsmouth, VA 23701-0221
Phone (757) 966-9978
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1194839704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3221",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237010221",
"telephone_number": "757-966-9978",
"fax_number": "757-488-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 BLAINE ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237033115",
"telephone_number": "757-483-4880",
"fax_number": "757-483-1578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR SUMMER PLACE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "ZATERA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "757-966-9978",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "VA",
"license": "558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.