Organization Active NPI

Neurology & Acupuncture Clinc PLC

  • Neurology Physician
  • Suffolk, VA
National Provider Identifier
1437210697
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101229252 Issued in VA
Legal business name
NEUROLOGY & ACUPUNCTURE CLINC PLC
Practice address
1520 Breezeport Way
Suite 600
Suffolk, VA 23435
Phone
(757) 638-3316
Fax
(757) 295-0859
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Catherine M Nehls
Title
Office Manager
Phone
(757) 745-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0101229252 VA Primary

Addresses

Primary practice location

1520 Breezeport Way
Suite 600
Suffolk, VA 23435

Mailing address

15154 Carrollton Blvd
Suite a
Carrollton, VA 23314-2316
Phone (757) 745-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1437210697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15154 CARROLLTON BLVD",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142316",
            "telephone_number": "757-745-7555",
            "fax_number": "757-745-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 BREEZEPORT WAY",
            "address_2": "SUITE 600",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-638-3316",
            "fax_number": "757-295-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & ACUPUNCTURE CLINC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "NEHLS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-745-7555"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101229252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.