Greenbrier Health and Wellness Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GREENBRIER HEALTH AND WELLNESS CENTER LLC

Practice address

1226 Progressive Dr Ste 101
Chesapeake, VA 23320-2847

Phone

(757) 609-3301

NPI assigned

Sep 8, 2019

Organization subpart

No

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

Authorized official

Name

Maribelle M Blackmon, NP-CNPI 1972905305

Title

Owner

Phone

(757) 609-3301

Specialties & licenses 1

Addresses

Other names 1

• Greenbrier Health and Wellness Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maribelle M Blackmon, NP

  • Family Nurse Practitioner
  • Chesapeake, VA
  • NPI 1972905305
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1548819014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 PROGRESSIVE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202847",
            "telephone_number": "757-609-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 PROGRESSIVE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202847",
            "telephone_number": "757-609-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-08",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "MARIBELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-609-3301",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chesapeake",
            "affiliation": "N",
            "address_1": "1226 Progressive Dr Ste 101",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233202847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greenbrier Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheryll Lafay Green, LPC
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• Greenbrier Family Chiropractic
• Greenbrier Family Practice, P.C.
• Greenbrier Obstetrics and Gynecology, P. C.
• Greenbrier Rehabilitation Services
• Greenbrier SNF Operations LLC
• Greenbrier Surgical Associates PC
• Leola Denise Greene, LMT

• Family Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.

Verify at the official NPI Registry.