Active NPI
Valley Integrative Medicine
- Internal Medicine Physician
- Roanoke, VA
National Provider Identifier
1275924318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VALLEY INTEGRATIVE MEDICINE
- Practice address
- 2702 Brambleton Ave SW
Roanoke, VA 24015-5139 - Phone
- (540) 556-1061
- NPI assigned
- Feb 11, 2015
- 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
- Dr. Alicia G Hollis, D.O.
- Title
- Assistant Professor
- Phone
- (540) 556-1061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2702 Brambleton Ave SW
Roanoke, VA 24015-5139
Mailing address
2702 Brambleton Ave SW
Roanoke, VA 24015-4308
Phone (540) 556-1061
National Provider Directory
National Provider DirectoryLocations
7455 McConnell Rd
Roanoke, VA 24019
Phone (540) 366-6729
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Roanoke, VA
- NPI 1376750646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437696000000",
"number": "1275924318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 BRAMBLETON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240154308",
"telephone_number": "540-556-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 BRAMBLETON AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240155139",
"telephone_number": "540-556-1061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-11",
"last_updated": "2015-07-24",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ASSISTANT PROFESSOR",
"authorized_official_telephone_number": "540-556-1061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.