Active NPI
Atlantic Integrative Medicine of Harrisonburg, LLC
- Family Medicine Physician
- Harrisonburg, VA
National Provider Identifier
1235901547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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.
-
- Family Nurse Practitioner
- Virginia Beach, VA
- NPI 1902438930
Family Medicine, VA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240710005175 | VA | Part B Supplier - Clinic/Group Practice | 9537504279 |
Receives reassigned benefits from 4 practitioners Practice locations: Harrisonburg, VA |
National Provider Directory
National Provider DirectoryLocations
410 Neff Ave
Harrisonburg, VA 22801
Phone (540) 442-0728
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.