Active NPI
CH Specialty Services VA LLC
- Internal Medicine Physician
- Glen Allen, VA
National Provider Identifier
1538868435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CH SPECIALTY SERVICES VA LLC
- Practice address
- 10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9246 - Phone
- (337) 408-0797
- NPI assigned
- Feb 28, 2023
- Last updated
- Mar 21, 2025
- 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
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10900 Nuckols Rd Ste 110
Glen Allen, VA 23060-9246
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4132 Longhill Rd
Williamsburg, VA 23188
Phone (757) 258-3444
Practitioners & affiliated clinicians
Practitioners 69
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": "1677542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1538868435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035345",
"telephone_number": "337-408-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 NUCKOLS RD STE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609246",
"telephone_number": "337-408-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CH SPECIALTY SERVICES VA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-28",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
- Mary Caitlin Cederholm, PT, DPT
- Maila Hizola Celino, PT
- Center for Physical Therapy & Sports Medicine, PC
- Centerwell Senior Primary Care VA PLLC (CenterWell Senior Primary Care-Twin Hickory)
- Central Virginia Disc Center (Richmond Disc Center)
- Shruthi Manjunatha Chandrashekhar Vijayalakshmi, MD
- Peter Chang, DPT
- Joanna Chaplin, OTD, OTR/L
- Chapters Health Hospice, Inc. (Chapters Health Hospice)
- Andre Charles, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.