Active NPI
Mednova757 LLC
- Durable Medical Equipment & Medical Supplies
- Virginia Beach, VA
National Provider Identifier
1487559456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDNOVA757 LLC
- Practice address
- 5437 Scholarship Dr
Virginia Beach, VA 23462-7335 - Phone
- (213) 735-5599
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- 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
- Jezreel Tippins
- Title
- Ceo
- Phone
- (213) 735-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
5437 Scholarship Dr
Virginia Beach, VA 23462-7335
Mailing address
5437 Scholarship Dr
Virginia Beach, VA 23462-7335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791590400000",
"number": "1487559456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 SCHOLARSHIP DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 SCHOLARSHIP DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627335",
"telephone_number": "213-735-5599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDNOVA757 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A",
"authorized_official_last_name": "TIPPINS",
"authorized_official_first_name": "JEZREEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-735-5599"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.