Medcare Weight Loss Therapy LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MEDCARE WEIGHT LOSS THERAPY LLC

Practice address

500 Washington St Ste 1
Portsmouth, VA 23704-3508

Phone

(757) 418-3567

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Bridgett Perry, NPNPI 1184399917

Title

Owner

Phone

(757) 418-3567

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bridgett Claiborne Perry, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, VA
  • NPI 1184399917
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1679389225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST STE 1",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-418-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST STE 1",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043508",
            "telephone_number": "757-418-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE WEIGHT LOSS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-418-3567",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.