Dogwood Lifestyle Medicine PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DOGWOOD LIFESTYLE MEDICINE PLC

Practice address

4414 Lafayette Blvd Ste 239B
Fredericksburg, VA 22408-4271

Phone

(540) 212-9525

Fax

(540) 779-7696

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Jonathan Yoder, NP-C

Title

Nurse Practitioner

Phone

(540) 212-9525

Specialties & licenses 2

Addresses

Other names 1

• Dogwood Wellness Doing business as

Locations

Practitioners 2

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

• Melissa Torres, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1902119597
  NPD
• Alison Anne Sullivan, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1154611333
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661040000000",
    "number": "1487262945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAFAYETTE BLVD STE 239B",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084271",
            "telephone_number": "540-212-9525",
            "fax_number": "540-779-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAFAYETTE BLVD STE 239B",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084271",
            "telephone_number": "540-212-9525",
            "fax_number": "540-779-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD LIFESTYLE MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "540-212-9525",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dogwood Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doctors Gregory R. Cox & Sherri L. Wilkerson-Cox PC
• Amanda Dodd
• Gertrude A Dodoo
• Kathleen Dodson, M.S.
• Furkan Dogan, DMD
• Richard Doherty, M.D.
• Lisa Dawn Hicks Dolan, LCSW
• Anna Michele Maples Dombo, CF-SLP
• Megan Christinia Dominick-Haughton, OTRL
• Elyse Jean Donahue, CRNA

• Primary Care Clinic/Center in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.