Organization Active NPI

Atlantic Integrative Medicine of Harrisonburg, LLC

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1235901547
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLANTIC INTEGRATIVE MEDICINE OF HARRISONBURG, LLC
Practice address
410 Neff Ave
Harrisonburg, VA 22801-5436
Phone
(540) 442-0728
NPI assigned
Oct 30, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Liezel Claar
Title
Owner
Phone
(540) 908-5072

Practitioners 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710005175 VA Part B Supplier - Clinic/Group Practice 9537504279 Receives reassigned benefits from 4 practitioners
Practice locations: Harrisonburg, VA

National Provider Directory

National Provider Directory

Locations

410 Neff Ave
Harrisonburg, VA 22801
Phone (540) 442-0728

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

410 Neff Ave
Harrisonburg, VA 22801-5436

Mailing address

410 Neff Ave
Harrisonburg, VA 22801-5436
Phone (540) 442-0728

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2023.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1235901547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 NEFF AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015436",
            "telephone_number": "540-442-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NEFF AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015436",
            "telephone_number": "540-442-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INTEGRATIVE MEDICINE OF HARRISONBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "CLAAR",
        "authorized_official_first_name": "LIEZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-908-5072"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.