Student Health Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0024164693 Issued in VA

Legal business name

STUDENT HEALTH CENTER

Practice address

One Gooch Drive
Williamsburg, VA 23187-8795

Phone

(757) 221-4386

Fax

(757) 221-1245

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Jawan Brown

Title

Head Nurse

Phone

(757) 221-4386

Specialties & licenses 5

Addresses

Tax ID family

College of William Mary2 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.

• College of William & Mary

  dba Student Heath Service Pharmacy

  • Student Health Clinic/Center
  • Williamsburg, VA
  • NPI 1023303757
  NPD tax ID

Practitioners 3

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

• Karla D. Beckman, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Williamsburg, VA
  • NPI 1851517205
  NPD (past)
• June Strickland Henderson, M.D.

  • Legal Medicine
  • Williamsburg, VA
  • NPI 1336363050
  NPD (past)
• Nancy-Lu Friese Moul, C.F.N.P.

  • Family Nurse Practitioner
  • Williamsburg, VA
  • NPI 1851514806
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1639290893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOOCH DR.",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231878795",
            "telephone_number": "757-221-4386",
            "fax_number": "757-221-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GOOCH DRIVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231878795",
            "telephone_number": "757-221-4386",
            "fax_number": "757-221-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JAWAN",
        "authorized_official_title_or_position": "HEAD NURSE",
        "authorized_official_telephone_number": "757-221-4386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101023275",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101023274",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0024164693",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0110002232",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0001070729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubre Alynn Stover
• Streaks Angels of Love With Helping Hands LLC
• Loriann Sykes Stretch, LPC, LCMHC-S
• Sierra Iyana Strothers
• Brittany Stroup, MA, LPC
• Student-Centered Psychological Services
• Sarah Stulen, DDS
• Sarita Golikeri Subramaniam, MD
• Vijay Subramaniam, M.D.
• Success in Mind of Virginia LLC (Success Behavioral Health Services)

• Health Service Clinic/Center in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.