Organization Active NPI

Creo Wellness, Inc.

  • Corporate Health Clinic/Center
  • Henrico, VA
National Provider Identifier
1437516531
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
0101232522 Issued in VA
Legal business name
CREO WELLNESS, INC.
Practice address
3460 Mayland CT
Henrico, VA 23233-1449
Phone
(804) 527-0815
Fax
(804) 527-0915
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Tonya Mallory
Title
President
Phone
(804) 527-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 0101232522 VA Primary

Addresses

Primary practice location

3460 Mayland CT
Henrico, VA 23233-1449

Mailing address

2924 Emerywood Pkwy Ste 103
Richmond, VA 23294-3746
Phone (804) 527-0815

National Provider Directory

National Provider Directory

Locations

3460 Mayland Ct
Richmond, VA 23233
Phone (804) 346-3077

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1437516531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-527-0815",
            "fax_number": "804-527-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 MAYLAND CT",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331449",
            "telephone_number": "804-527-0815",
            "fax_number": "804-527-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREO WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-527-0518"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "VA",
            "license": "0101232522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.