Active NPI
Journey Health & Wellness
- Primary Care Clinic/Center
- Glen Allen, VA
National Provider Identifier
1720616295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- JOURNEY HEALTH & WELLNESS
- Practice address
- 100 Concourse Blvd Ste 150
Glen Allen, VA 23059-5751 - Phone
- (804) 416-6673
- Fax
- (804) 886-9046
- NPI assigned
- Mar 31, 2020
- Last updated
- Jan 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Tucker Anderson, NP
- Title
- Nurse Practitioner
- Phone
- (804) 416-6673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
100 Concourse Blvd Ste 150
Glen Allen, VA 23059-5751
Mailing address
100 Concourse Blvd Ste 150
Glen Allen, VA 23059-5751
Phone (804) 416-6673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200506001709 | VA | Part B Supplier - Clinic/Group Practice | 2860823838 | Practice locations: Glen Allen, VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Glen Allen, VA
- NPI 1528314556
-
- Family Nurse Practitioner
- Chesterfield, VA
- NPI 1649734641
-
- Acute Care Nurse Practitioner
- Richmond, VA
- NPI 1497143481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767484800000",
"number": "1720616295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CONCOURSE BLVD STE 150",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595751",
"telephone_number": "804-416-6673",
"fax_number": "804-886-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CONCOURSE BLVD STE 150",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595751",
"telephone_number": "804-416-6673",
"fax_number": "804-886-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-31",
"last_updated": "2026-01-04",
"certification_date": "2026-01-04",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "TUCKER",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "804-416-6673",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.