Organization Active NPI

Journey Health & Wellness

  • Primary Care Clinic/Center
  • Glen Allen, VA
National Provider Identifier
1720616295
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Authorized official

Name
Angela Tucker Anderson, NPNPI 1528314556
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200506001709 VA Part B Supplier - Clinic/Group Practice 2860823838 Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.