Organization Active NPI

Love the Tree of Life Clinic

  • Clinic/Center
  • Newport News, VA
National Provider Identifier
1528844693
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Sep 5, 2023

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2288332Love the Tree of Life Clinic2016 25TH Street, Newport News, VA 23607Provider-performed microscopyAug 23, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.