Organization Active NPI

Valley Integrative Medicine

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1275924318
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jul 24, 2015

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.