NPIMap

Organization Active NPI

Mercy Midwifery & Women'S Health, PLLC

  • Clinic/Center
  • Chesapeake, VA
National Provider Identifier
1316785199
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY MIDWIFERY & WOMEN'S HEALTH, PLLC
Practice address
1520 Terra Vista Dr Apt 651
Chesapeake, VA 23320-4892
Phone
(757) 362-1548
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Khadijah D Fuller, CNMNPI 1790427854
Title
Owner
Phone
(757) 362-1548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1520 Terra Vista Dr Apt 651
Chesapeake, VA 23320-4892

Mailing address

1520 Terra Vista Dr Apt 651
Chesapeake, VA 23320-4892
Phone (757) 362-1548

National Provider Directory

National Provider Directory

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": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1316785199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 TERRA VISTA DR APT 651",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204892",
            "telephone_number": "757-362-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 TERRA VISTA DR APT 651",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204892",
            "telephone_number": "757-362-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MIDWIFERY & WOMEN'S HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-362-1548",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.