Elements of Health VA LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELEMENTS OF HEALTH VA LLC

Practice address

4300 Portsmouth Blvd Ste 262
Chesapeake, VA 23321-2138

Phone

(757) 956-5742

Fax

(757) 695-9801

NPI assigned

Dec 21, 2020

Organization subpart

Yes

Parent organization

SHAWNTE L PETERSONAs reported in NPPES

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

Authorized official

Name

Shawnte Latryce Peterson, LMT, CHESNPI 1619512514

Title

Owner

Phone

(757) 529-1647

Specialties & licenses 3

Addresses

Other names 1

• Shawnte Peterson Doing business as

Part of

Elements of Health VA LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawnte Latryce Peterson, LMT, MPH, CHES

  • Massage Therapist
  • Chesapeake, VA
  • NPI 1619512514

  Reflexologist

  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1215523519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 WHITE CAP CRST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213256",
            "telephone_number": "678-702-7290",
            "fax_number": "757-695-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PORTSMOUTH BLVD STE 262",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212138",
            "telephone_number": "757-956-5742",
            "fax_number": "757-695-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OF HEALTH VA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNTE L PETERSON",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHAWNTE",
        "authorized_official_middle_name": "LATRYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-529-1647",
        "authorized_official_credential": "LMT, CHES"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawnte Peterson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shawnte Peterson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.