Organization Active NPI

The Healthy Living Center Foundation C/O Primary Care Specialists, Inc

  • Preferred Provider Organization
  • Norfolk, VA
National Provider Identifier
1528513835
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
THE HEALTHY LIVING CENTER FOUNDATION C/O PRIMARY CARE SPECIALISTS, INC
Practice address
930 Majestic Avenue
Suite 110
Norfolk, VA 23504
Phone
(757) 622-0542
Fax
(757) 627-5809
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Authorized official

Name
Mrs. Olivia M Newby, DNP, FNP-BC, CDE
Title
President
Phone
(757) 622-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

930 Majestic Avenue
Suite 110
Norfolk, VA 23504

Mailing address

930 Majestic Avenue
Suite 110
Norfolk, VA 23504
Phone (757) 622-0542

Other names 1

  • The Healthy Living Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1528513835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVENUE",
            "address_2": "SUITE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-622-0542",
            "fax_number": "757-627-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVENUE",
            "address_2": "SUITE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "757-622-0542",
            "fax_number": "757-627-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHY LIVING CENTER FOUNDATION C/O PRIMARY CARE SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-622-0542",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, FNP-BC, CDE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healthy Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.