Active NPI
Seaside the Health Center at
- Family Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1356716856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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 SHORES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
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.
-
- Skilled Nursing Facility
- Virginia Beach, VA
- NPI 1417956673
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.