Organization Active NPI

Somatus Whole Care Center of Florida, LLC

  • Case Management Agency
  • MC Lean, VA
National Provider Identifier
1467290239
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOMATUS WHOLE CARE CENTER OF FLORIDA, LLC
Practice address
1861 International Dr Ste 600
MC Lean, VA 22102-4420
Phone
(571) 992-0600
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Alicia Palmer
Title
Authorized Official
Phone
(202) 236-7061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1861 International Dr Ste 600
MC Lean, VA 22102-4420

Mailing address

1861 International Dr Ste 600
MC Lean, VA 22102-4420
Phone (571) 992-0600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1467290239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024420",
            "telephone_number": "571-992-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 INTERNATIONAL DR STE 600",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024420",
            "telephone_number": "571-992-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMATUS WHOLE CARE CENTER OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "202-236-7061"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.