Active NPI
Restore Wellness Clinic, LLC
- Infusion Therapy Clinic/Center
- Newport News, VA
National Provider Identifier
1245093442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Clinic/Center
- Legal business name
- RESTORE WELLNESS CLINIC, LLC
- Practice address
- 730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562 - Phone
- (240) 888-8292
- NPI assigned
- Feb 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Marette
- Title
- Partner
- Phone
- (240) 888-8292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Primary |
Addresses
Primary practice location
730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
Mailing address
730 Thimble Shoals Blvd Ste 130
Newport News, VA 23606-4562
National Provider Directory
National Provider DirectoryLocations
730 Thimble Shoals Blvd
Ste 130
Newport News, VA 23606
Phone (757) 327-0103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1245093442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 THIMBLE SHOALS BLVD STE 130",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 THIMBLE SHOALS BLVD STE 130",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064562",
"telephone_number": "240-888-8292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE WELLNESS CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "MARETTE",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "240-888-8292"
},
"taxonomies": [
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.