Peninsula Family Practice

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0024000020 Issued in VA

Legal business name

PENINSULA FAMILY PRACTICE

Practice address

2115 Executive Dr
4-C
Hampton, VA 23666-2499

Phone

(757) 826-0020

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Valencia BelleNPI 1104832963

Title

Owner

Phone

(757) 826-0020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valencia R Belle, NP

  • Family Nurse Practitioner
  • Hampton, VA
  • NPI 1104832963
  Authorized official Same address or phone
• Tiffany Davis, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Portsmouth, VA
  • NPI 1558687954
  NPD (past)

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1326363417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "4-C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-826-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 EXECUTIVE DR",
            "address_2": "4-C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662499",
            "telephone_number": "757-826-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "BELLE",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-826-0020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "VA",
            "license": "0024000020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Peglow, DO
• Jiten Ralph Peiris
• Peninsula Behavioral Consulting
• Peninsula Child & Family Services LLC
• Peninsula Cosmetic & Reconstructive Surgery Inc
• Peninsula Foot & Ankle Specialists PLC
• Peninsula Institute for Community Health Inc (Hampton Newport News Community Services Board)
• Peninsula Kidney Associates PC
• Peninsula Neurosurgical Associates, Inc.
• Peninsula Orthopaedic Group, PC

• Health Maintenance Organization in Hampton, VA
• Providers in Hampton, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.