Active NPI
Modern Woman, LLC
- Specialist
- Richmond, VA
National Provider Identifier
1629296512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MODERN WOMAN, LLC
- Practice address
- 7603 Forest Ave
Suite 101
Richmond, VA 23229-4942 - Phone
- (804) 282-9479
- Fax
- (804) 285-9805
- NPI assigned
- Apr 23, 2007
- 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
- Mrs. Carolyn D McDaniel
- Title
- Practice Manager
- Phone
- (804) 282-9479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
7603 Forest Ave
Suite 101
Richmond, VA 23229-4942
Mailing address
7603 Forest Avenue
Suite 101
Richmond, VA 23111
Phone (804) 282-9479
National Provider Directory
National Provider DirectoryLocations
7601 Forest Ave
Ste 101
Richmond, VA 23229
7601 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 282-9429
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- Richmond, VA
- NPI 1962449595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629296512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7603 FOREST AVENUE",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23111",
"telephone_number": "804-282-9479",
"fax_number": "804-285-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7603 FOREST AVE",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232294942",
"telephone_number": "804-282-9479",
"fax_number": "804-285-9805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN WOMAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "804-282-9479",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.