Active NPI
Love the Tree of Life Clinic
- Clinic/Center
- Newport News, VA
National Provider Identifier
1528844693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LOVE THE TREE OF LIFE CLINIC
- Practice address
- 2016 25TH St
Newport News, VA 23607-5512 - Phone
- (757) 726-7135
- NPI assigned
- Sep 5, 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
- Dr. Carmen I. Johnson-Martell DNP, FNP-D, DNP, FNP-C
- Title
- President, Founder, Clinican
- Phone
- (757) 915-5781
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
2016 25TH St
Newport News, VA 23607-5512
Mailing address
2016 25TH St
Newport News, VA 23607-5512
Phone (757) 915-5781
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2288332 | Love the Tree of Life Clinic | Provider-performed microscopy | Aug 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
2016 25th St
Newport News, VA 23607
Phone (757) 726-7135
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Newport News, VA
- NPI 1083011274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1528844693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 25TH ST",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236075512",
"telephone_number": "757-915-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 25TH ST",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236075512",
"telephone_number": "757-726-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE THE TREE OF LIFE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "JOHNSON-MARTELL DNP, FNP-D",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT, FOUNDER, CLINICAN",
"authorized_official_telephone_number": "757-915-5781",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.