Organization Active NPI

Noble Health and Wellness, LLC

  • Adult Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1710791504
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
NOBLE HEALTH AND WELLNESS, LLC
Practice address
676 Kingsborough SQ Ste B
Chesapeake, VA 23320-4987
Phone
(757) 908-3211
Fax
(757) 908-3331
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Nicole Marie Noble, NPNPI 1306301726
Title
Authorized Official / Owner
Phone
(330) 550-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

676 Kingsborough SQ Ste B
Chesapeake, VA 23320-4987

Mailing address

676 Kingsborough SQ Ste B
Chesapeake, VA 23320-4987
Phone (330) 550-2559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016000677 VA Part B Supplier - Clinic/Group Practice 5698262319 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2329658Noble Health and Wellness676 Kingsborough Square, Suite B, Chesapeake, VA 23320Certificate of waiverSep 3, 2027

National Provider Directory

National Provider Directory

Locations

636 Cedar Rd
Fl 1
Chesapeake, VA 23322

636 Cedar Rd
Ste 1
Chesapeake, VA 23322

676 Kingsborough Sq
Ste B
Chesapeake, VA 23320
Phone (757) 548-3800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1710791504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 KINGSBOROUGH SQ STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204987",
            "telephone_number": "330-550-2559",
            "fax_number": "757-908-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 KINGSBOROUGH SQ STE B",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204987",
            "telephone_number": "757-908-3211",
            "fax_number": "757-908-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / OWNER",
        "authorized_official_telephone_number": "330-550-2559",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.