Organization Active NPI

Neurology Institute of Virginia, PLLC

  • Neurology Physician
  • Virginia Beach, VA
National Provider Identifier
1487836433
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101033361 Issued in VA
Legal business name
NEUROLOGY INSTITUTE OF VIRGINIA, PLLC
Practice address
1020 Independence Blvd
Suite 309
Virginia Beach, VA 23455-5500
Phone
(757) 464-5888
Fax
(757) 464-6010
NPI assigned
Dec 2, 2007
Last updated
Dec 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Authorized official

Name
Karen Mounaimne
Title
Office Manager
Phone
(757) 464-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101033361 VA Primary

Addresses

Primary practice location

1020 Independence Blvd
Suite 309
Virginia Beach, VA 23455-5500

Mailing address

1020 Independence Blvd
Suite 309
Virginia Beach, VA 23455-5500
Phone (757) 464-5888

National Provider Directory

National Provider Directory

Locations

1020 Independence Blvd
#309
Virginia Beach, VA 23455
Phone (757) 464-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1487836433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 309",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-5888",
            "fax_number": "757-464-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 309",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-5888",
            "fax_number": "757-464-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY INSTITUTE OF VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "MOUNAIMNE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-464-5888"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101033361",
            "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 Dec 2, 2007; 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.