Active NPI
Torch Wellness
- Physician Assistant
- Norfolk, VA
National Provider Identifier
1396482261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- TORCH WELLNESS
- Practice address
- 117 W 21St St Ste 205
Norfolk, VA 23517-2246 - Phone
- (757) 603-4604
- NPI assigned
- May 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lara Kain, PA-C
- Title
- Owner
- Phone
- (757) 603-4604
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
117 W 21St St Ste 205
Norfolk, VA 23517-2246
Mailing address
117 W 21St St Ste 205
Norfolk, VA 23517-2246
Phone (757) 603-4604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110001645 | Other | VA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@torchwellness.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Norfolk, VA
- NPI 1760580534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1396482261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 21ST ST STE 205",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235172246",
"telephone_number": "757-603-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 21ST ST STE 205",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235172246",
"telephone_number": "757-603-4604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TORCH WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "KAIN",
"authorized_official_first_name": "LARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-603-4604",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0110001645",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@torchwellness.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "117 W 21st St Ste 205",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235172246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.