Active NPI
Creo Wellness, Inc.
- Corporate Health Clinic/Center
- Henrico, VA
National Provider Identifier
1437516531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- License
- 0101232522
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.