Organization Active NPI

D.a.C. Health

  • Adult Health Nurse Practitioner
  • Chesterfield, VA
National Provider Identifier
1447969605
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
D.A.C. HEALTH
Practice address
4801 Newbys Mill Ter
Chesterfield, VA 23832-7875
Phone
(804) 248-0235
NPI assigned
Nov 16, 2022
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Mrs. Mishii Hamlor, AGNPNPI 1669938825
Title
Nurse Practitioner
Phone
(804) 248-0235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

4801 Newbys Mill Ter
Chesterfield, VA 23832-7875

Mailing address

7501 Lady Blair LN Unit 74935
North Chesterfield, VA 23236-5042
Phone (804) 248-0235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230623001248 VA Part B Supplier - Clinic/Group Practice 5092173096 Receives reassigned benefits from 1 practitioner
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

7501 Lady Blair Ln
Unit 74935
North Chesterfield, VA 23236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1447969605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LADY BLAIR LN UNIT 74935",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365042",
            "telephone_number": "804-248-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 NEWBYS MILL TER",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327875",
            "telephone_number": "804-248-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.A.C. HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-06-23",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "HAMLOR",
        "authorized_official_first_name": "MISHII",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-248-0235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.