Organization Active NPI

Athena Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Virginia Beach, VA
National Provider Identifier
1649560582
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATHENA MEDICAL LLC
Practice address
711 9TH St
Virginia Beach, VA 23451-4501
Phone
(757) 675-2831
Fax
(757) 428-1539
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Mrs. Kelly Anne Sheffer
Title
President
Phone
(757) 675-2831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

711 9TH St
Virginia Beach, VA 23451-4501

Mailing address

711 9TH St
Virginia Beach, VA 23451-4501
Phone (757) 675-2831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1649560582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 9TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514501",
            "telephone_number": "757-675-2831",
            "fax_number": "757-428-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 9TH ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514501",
            "telephone_number": "757-675-2831",
            "fax_number": "757-428-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "SHEFFER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-675-2831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.