Organization Active NPI

Medical Direct, LLC

  • Nursing Care Agency
  • Norfolk, VA
National Provider Identifier
1306103866
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MEDICAL DIRECT, LLC
Practice address
7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800
Phone
(757) 480-2929
Fax
(757) 480-2990
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Ms. Sherry P Bedoya, REGISTERED NURSE
Title
Clinical Director
Phone
(757) 480-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800

Mailing address

7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800
Phone (757) 480-2929

National Provider Directory

National Provider Directory

Locations

7421 Central Business Park Dr
Ste 106B
Norfolk, VA 23513
Phone (757) 480-2929

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1306103866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 CENTRAL BUSINESS PARK DR",
            "address_2": "SUITE 106 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132800",
            "telephone_number": "757-480-2929",
            "fax_number": "757-480-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 CENTRAL BUSINESS PARK DR",
            "address_2": "SUITE 106 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132800",
            "telephone_number": "757-480-2929",
            "fax_number": "757-480-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIRECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-480-2929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.