Organization Active NPI

Seaside the Health Center at

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1356716856
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SEASIDE THE HEALTH CENTER AT
Practice address
1200 Atlantic Shores Dr
Wellness Clinic
Virginia Beach, VA 23454-7311
Phone
(757) 716-2065
Fax
(757) 716-2019
NPI assigned
Dec 9, 2015
Organization subpart
Yes
Parent organization
SEASIDE THE HEALTH CENTER AT ATLANTIC SHORESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Authorized official

Name
Brenda Rosenbaugh L Rosenbaugh
Title
Senior Medical Billing Specialist
Phone
(757) 716-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1200 Atlantic Shores Dr
Wellness Clinic
Virginia Beach, VA 23454-7311

Mailing address

1200 Atlantic Shores Dr
Wellness Clinic
Virginia Beach, VA 23454-7311
Phone (757) 716-2065

Other names 1

  • Wellness Clinic Other name

National Provider Directory

National Provider Directory
Part of
Seaside the Health Cent

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1356716856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ATLANTIC SHORES DR",
            "address_2": "WELLNESS CLINIC",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234547311",
            "telephone_number": "757-716-2065",
            "fax_number": "757-716-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ATLANTIC SHORES DR",
            "address_2": "WELLNESS CLINIC",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234547311",
            "telephone_number": "757-716-2065",
            "fax_number": "757-716-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE THE HEALTH CENTER AT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEASIDE THE HEALTH CENTER AT ATLANTIC SHORES",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUGH",
        "authorized_official_first_name": "BRENDA ROSENBAUGH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "757-716-2065"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.