Olympia Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101249977 Issued in VA

Legal business name

OLYMPIA FAMILY MEDICINE

Practice address

14024 Wiley Cir
Midlothian, VA 23114-5578

Phone

(804) 639-8145

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bernice Natalie Mucuis-Penha, MD

Title

Medical Director

Phone

(804) 639-8145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Bernice Natalie Mucius-Penha, M.D.

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1568628527
  Medicare reassignment

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1235546201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 WILEY CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145578",
            "telephone_number": "804-639-8145",
            "fax_number": "804-818-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 WILEY CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145578",
            "telephone_number": "804-639-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6055 Harbour Park Dr",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122160",
            "country_code": "US",
            "telephone_number": "804-639-8145",
            "fax_number": "804-818-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLYMPIA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "MUCUIS-PENHA",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-639-8145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101249977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A.J. Olivero Jr., D.D.S.
• Robin Kaye Olivier
• Kimberly Olsen
• Daniel Taylor Olson, MD
• Oluwatimilehin Oluwadamilare, MPH
• Tatyana Anatolia Omdahl
• Janelle Ondo, NP
• Patricia Onorato
• Nadine Adhiambo Onyach
• Maame Opoku Nyamekye

• Family Medicine Physician in Midlothian, VA
• Providers in Midlothian, 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 7, 2023; 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.

Verify at the official NPI Registry.