Active NPI
Reflections Wellness Boutique LLC
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
National Provider Identifier
1437192168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REFLECTIONS WELLNESS BOUTIQUE LLC
- Practice address
- 14051 Saint Francis Boulevard
Suite 1302
Midlothian, VA 23114 - Phone
- (804) 594-4949
- Fax
- (804) 594-4948
- NPI assigned
- Jun 13, 2006
- 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
- Mrs. Rebecca Vandenburgh McCormack
- Title
- Vice President
- Phone
- (804) 594-4949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14051 Saint Francis Boulevard
Suite 1302
Midlothian, VA 23114
Mailing address
14051 Saint Francis Boulevard
Suite 1302
Midlothian, VA 23114
Phone (804) 594-4949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 246765 | Other | VA | ANTHEM BC BS |
| 7147989 | Other | VA | CIGNA HEALTHCARE |
National Provider Directory
National Provider Directory- Tax ID family
- Reflections Wellness Boutique LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Henrico, VA
- NPI 1285873174
Locations
14051 St Francis Blvd
Ste 1302
Midlothian, VA 23114
Phone (804) 594-4949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1437192168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14051 SAINT FRANCIS BOULEVARD",
"address_2": "SUITE 1302",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23114",
"telephone_number": "804-594-4949",
"fax_number": "804-594-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14051 SAINT FRANCIS BOULEVARD",
"address_2": "SUITE 1302",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23114",
"telephone_number": "804-594-4949",
"fax_number": "804-594-4948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECTIONS WELLNESS BOUTIQUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "MCCORMACK",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "VANDENBURGH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "804-594-4949",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "246765",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "7147989",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.