Organization Active NPI

Omni-Wu Coalition

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1619710969
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OMNI-WU COALITION
Practice address
500 Woodlake Dr Ste 105B
Chesapeake, VA 23320-8923
Phone
(757) 513-1673
Fax
(757) 740-5166
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Jessica BrodieNPI 1336961051
Title
Co-Owner
Phone
(757) 513-1673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 Woodlake Dr Ste 105B
Chesapeake, VA 23320-8923

Mailing address

500 Woodlake Dr Ste 105B
Chesapeake, VA 23320-8923
Phone (757) 513-1673

National Provider Directory

National Provider Directory

Locations

500 Woodlake Dr
Ste 105B
Chesapeake, VA 23320
Phone (757) 513-1673

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": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1619710969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WOODLAKE DR STE 105B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208923",
            "telephone_number": "757-513-1673",
            "fax_number": "757-740-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WOODLAKE DR STE 105B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208923",
            "telephone_number": "757-513-1673",
            "fax_number": "757-740-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI-WU COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "757-513-1673"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.