The Haven Primary Care

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

THE HAVEN PRIMARY CARE

Practice address

202 6TH St
Grottoes, VA 24441-1701

Phone

(540) 480-4613

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mandee Stull, NP

Title

Co-Owner/Provider

Phone

(540) 480-4613

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1487559548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 6TH ST",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 6TH ST",
            "city": "GROTTOES",
            "state": "VA",
            "postal_code": "244411701",
            "telephone_number": "540-480-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "MANDEE",
        "authorized_official_title_or_position": "CO-OWNER/PROVIDER",
        "authorized_official_telephone_number": "540-480-4613",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Grottoes, VA
• Providers in Grottoes, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.