Organization Active NPI

C3 Nexus LLC

  • Cardiac Rehabilitation Clinic/Center
  • Richmond, VA
National Provider Identifier
1568875235
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
License
0101045588 Issued in VA
Legal business name
C3 NEXUS LLC
Practice address
737 N 5TH St
Suite 500
Richmond, VA 23219-1441
Phone
(804) 325-1122
NPI assigned
Jun 10, 2014
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Tonya Mallory
Title
President
Phone
(804) 325-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X 0101045588 VA Primary
Chronic Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SC2300X 0101045588 VA

Addresses

Primary practice location

737 N 5TH St
Suite 500
Richmond, VA 23219-1441

Mailing address

737 N 5TH St
Suite 500
Richmond, VA 23219-1441
Phone (804) 325-1122

National Provider Directory

National Provider Directory
Tax ID family
C3 Nexus LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

737 N 5th St
Ste 500
Richmond, VA 23219
Phone (804) 325-1122

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1568875235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N 5TH ST",
            "address_2": "SUITE 500",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191441",
            "telephone_number": "804-325-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N 5TH ST",
            "address_2": "SUITE 500",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191441",
            "telephone_number": "804-325-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C3 NEXUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MALLORY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-325-1122"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "VA",
            "license": "0101045588",
            "primary": true
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": "VA",
            "license": "0101045588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.