Active NPI
Petra Hall
- Specialist
- Williamsburg, VA
National Provider Identifier
1700246386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0019000813
- Practice address
- 1307 Jamestown Rd Ste 103
Williamsburg, VA 23185-3381 - Phone
- (757) 229-4161
- Fax
- (757) 564-0581
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0019000813 | VA | Primary |
Addresses
Primary practice location
1307 Jamestown Rd Ste 103
Williamsburg, VA 23185-3381
Mailing address
104 Trafalgar CT
Williamsburg, VA 23185-5785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019000813 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Chiropractic, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Williamsburg, VA
- NPI 1497951743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456358400000",
"number": "1700246386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 TRAFALGAR CT",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 JAMESTOWN RD STE 103",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853381",
"telephone_number": "757-229-4161",
"fax_number": "757-564-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PETRA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0019000813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.