Williamsburg Landing Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WILLIAMSBURG LANDING INC

Practice address

5700 Williamsburg Landing Dr
Williamsburg, VA 23185-3779

Phone

(757) 565-6525

Fax

(757) 565-6551

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Tracy Christie

Title

Resident Finance Manager

Phone

(757) 565-6516

Specialties & licenses 1

Addresses

Other names 1

• Williamsburg Landing Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Williamsburg Landing Inc

  • Skilled Nursing Facility
  • Williamsburg, VA
  • NPI 1427054410

  5890854186

  Same PAC ID

Tax ID family

Williamsburg Landing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Williamsburg Landing Inc

  • Skilled Nursing Facility
  • Williamsburg, VA
  • NPI 1427054410
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Leigh Armijo, FNP-C

  • Family Nurse Practitioner
  • Williamsburg, VA
  • NPI 1285282368
  Medicare reassignment NPD
• Lakshmi R Chaudhuri, MD

  • Family Medicine Physician
  • Williamsburg, VA
  • NPI 1659351377
  Medicare reassignment NPD
• Camille Young, FNP

  • Family Nurse Practitioner
  • Norfolk, VA
  • NPI 1518645282
  Medicare reassignment NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1457096406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 WILLIAMSBURG LANDING DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853779",
            "telephone_number": "757-565-6516",
            "fax_number": "757-565-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WILLIAMSBURG LANDING DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853779",
            "telephone_number": "757-565-6525",
            "fax_number": "757-565-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG LANDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "RESIDENT FINANCE MANAGER",
        "authorized_official_telephone_number": "757-565-6516"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Landing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamsburg Gastroenterology, PC
• Williamsburg Indoor Sports Complex
• Williamsburg Inpatient Services LLC
• Williamsburg Landing Home Health, LLC
• Williamsburg Landing Inc
• Williamsburg Mobility LLC
• Williamsburg Neck and Back Center LLC
• Williamsburg Neurology, P.C.
• Williamsburg Obstetrics & Gynecology
• Williamsburg Plastic Surgery PC

• Multi-Specialty Clinic/Center in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.