Organization Active NPI

New Life Wellness Center

  • Chiropractor
  • Vienna, VA
National Provider Identifier
1417008699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001088 Issued in VA
Legal business name
NEW LIFE WELLNESS CENTER
Practice address
243 Church St NW
Suite 300B
Vienna, VA 22180-4434
Phone
(703) 242-7474
NPI assigned
Jan 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathryn Anne Thompson, D.C.NPI 1255482436
Title
Executive Director
Phone
(703) 242-7474

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
Chiropractor 111N00000X 0104001088 VA Primary

Addresses

Primary practice location

243 Church St NW
Suite 300B
Vienna, VA 22180-4434

Mailing address

243 Church St NW
Suite 300B
Vienna, VA 22180-4434
Phone (703) 242-7474

National Provider Directory

National Provider Directory

Locations

243 Church St NW
Ste 300B
Vienna, VA 22180
Phone (703) 242-7474

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417008699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 300B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-242-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHURCH ST NW",
            "address_2": "SUITE 300B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804434",
            "telephone_number": "703-242-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-242-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.