Active NPI
Headway With Jenny PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Blacksburg, VA
National Provider Identifier
1508556861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEADWAY WITH JENNY PLLC
- Practice address
- 1999 S Main St Ste 500a
Blacksburg, VA 24060-6639 - Phone
- (540) 808-8393
- NPI assigned
- May 10, 2023
- 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
- Zhan Wang
- Title
- Owner
- Phone
- (540) 808-8393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1999 S Main St Ste 500a
Blacksburg, VA 24060-6639
Mailing address
913 Village Way N
Blacksburg, VA 24060-1847
National Provider Directory
National Provider DirectoryLocations
1999 S Main St
Ste 500A
Blacksburg, VA 24060
Phone (540) 808-8393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Christiansburg, VA
- NPI 1942763214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683676800000",
"number": "1508556861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 VILLAGE WAY N",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240601847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 S MAIN ST STE 500A",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606639",
"telephone_number": "540-808-8393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADWAY WITH JENNY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "ZHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-808-8393"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.