Organization Active NPI

Our Summer Place,LLC

  • Point of Service
  • Portsmouth, VA
National Provider Identifier
1194839704
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
558 Issued in VA
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

Updated by the provider on Jun 23, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.