Organization Active NPI

Lifestyle and Wellness Center LLC

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1730586926
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101248716 Issued in VA
Legal business name
LIFESTYLE AND WELLNESS CENTER LLC
Practice address
110 N Robinson St
Suite 101
Richmond, VA 23220-4459
Phone
(202) 669-8149
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Latania Akers-White, MD
Title
Owner
Phone
(202) 669-8149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101248716 VA Primary

Addresses

Primary practice location

110 N Robinson St
Suite 101
Richmond, VA 23220-4459

Mailing address

110 N Robinson St
Suite 101
Richmond, VA 23220-4459
Phone (202) 669-8149

National Provider Directory

National Provider Directory

Locations

110 N Robinson St
Ste 101
Richmond, VA 23220
Phone (804) 554-3464

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1730586926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204459",
            "telephone_number": "202-669-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204459",
            "telephone_number": "202-669-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "AKERS-WHITE",
        "authorized_official_first_name": "LATANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-669-8149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101248716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.