Organization Active NPI

Midlo Wellness Clinics LLC

Doing business as Medi Weight loss

  • Gerontology Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1427427681
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
0024172802 Issued in VA
Legal business name
MIDLO WELLNESS CLINICS LLC
Doing business as
Medi Weight loss
Practice address
230 Browns Way Rd
Midlothian, VA 23114-9501
Phone
(804) 419-9101
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Mr. Chis Currin, RPH
Title
Managing Partner
Phone
(804) 419-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 0024172802 VA Primary

Addresses

Primary practice location

230 Browns Way Rd
Midlothian, VA 23114-9501

Mailing address

230 Browns Way Rd
Midlothian, VA 23114-9501
Phone (804) 419-9101

Other names 1

  • Medi Weight loss Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medi Weight Loss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1427427681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BROWNS WAY RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149501",
            "telephone_number": "804-419-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BROWNS WAY RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149501",
            "telephone_number": "804-419-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLO WELLNESS CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "CURRIN",
        "authorized_official_first_name": "CHIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "804-419-9101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024172802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weight loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.