Organization Active NPI

Plena Integrative Health Center

  • Gynecology Physician
  • Harrisonburg, VA
National Provider Identifier
1346025509
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PLENA INTEGRATIVE HEALTH CENTER
Practice address
119 University Blvd Ste B
Harrisonburg, VA 22801-3753
Phone
(540) 383-7460
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Tammechien J McDonald-Brouwer, CNMNPI 1467694554
Title
Owner
Phone
(540) 383-7460

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

119 University Blvd Ste B
Harrisonburg, VA 22801-3753

Mailing address

119 University Blvd Ste B
Harrisonburg, VA 22801-3753
Phone (540) 383-7460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313004567 VA Part B Supplier - Clinic/Group Practice 2567808447 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisonburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2297556Plena Integrative Health Center119B University Blvd, Harrisonburg, VA 22801Provider-performed microscopyJan 17, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1346025509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 UNIVERSITY BLVD STE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013753",
            "telephone_number": "540-383-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UNIVERSITY BLVD STE B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013753",
            "telephone_number": "540-383-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLENA INTEGRATIVE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MCDONALD-BROUWER",
        "authorized_official_first_name": "TAMMECHIEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-383-7460",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.