Organization Active NPI

Light of Hope Healthcare

  • Adult Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1619736485
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
LIGHT OF HOPE HEALTHCARE
Practice address
10620 Spurloch CT
Glen Allen, VA 23059-8003
Phone
(804) 615-0129
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Mrs. Tracey Yeboah, DNP, FNP-CNPI 1902430986
Title
Family Nurse Practitioner
Phone
(804) 615-0129

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
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

10620 Spurloch CT
Glen Allen, VA 23059-8003

Mailing address

10620 Spurloch CT
Glen Allen, VA 23059-8003
Phone (804) 615-0129

National Provider Directory

National Provider Directory

Locations

11533 Nuckols Rd
Ste A
Glen Allen, VA 23059
Phone (804) 615-0129

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": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1619736485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 SPURLOCH CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230598003",
            "telephone_number": "804-615-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SPURLOCH CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230598003",
            "telephone_number": "804-615-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF HOPE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "YEBOAH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "804-615-0129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.