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
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

410 Neff Ave
Harrisonburg, VA 22801-5436

Mailing address

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

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.