Vigor Integrative Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VIGOR INTEGRATIVE WELLNESS LLC

Practice address

10304 Eaton PL Ste 100
Fairfax, VA 22030-2221

Phone

(888) 217-7061

Fax

(346) 706-6891

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Kerniba GhoneimNPI 1568036382

Title

Owner

Phone

(888) 217-7061

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kerniba Yohi Ghoneim, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1568036382

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1255176129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "888-217-7061",
            "fax_number": "346-706-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "888-217-7061",
            "fax_number": "346-706-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGOR INTEGRATIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GHONEIM",
        "authorized_official_first_name": "KERNIBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-217-7061"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Plastic Surgery Center, Inc.
• Victoria Transcultural Clinical Center
• Victoria V, LLC
• Alessandra Rose Vidal, AUD
• Lindsay Viellieu, PHD
• Michael Villa, DPT
• Merinel Villahermosa
• Karina A Villegas, MSW
• Kendra Alexa Villegas
• Elaine Viloria, SA-C

• All providers in Fairfax, VA
• Psychiatric/Mental Health Nurse Practitioner in Virginia

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

Verify at the official NPI Registry.