Active NPI
Privia Womens Health LLC
- Obstetrics & Gynecology Physician
- Richmond, VA
National Provider Identifier
1770055238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PRIVIA WOMENS HEALTH LLC
- Practice address
- 7611 Forest Ave Ste 200
Richmond, VA 23229-4946 - Phone
- (571) 366-8850
- NPI assigned
- Dec 21, 2018
- 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
- Courtney Ivess
- Title
- Associate Director, Credentialing
- Phone
- (571) 366-8831
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | |||
| Gynecology Physician | 207VG0400X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Obstetrics Physician | 207VX0000X |
Addresses
Primary practice location
7611 Forest Ave Ste 200
Richmond, VA 23229-4946
Mailing address
950 N Glebe Rd Ste 4000
Arlington, VA 22203-1824
Phone (571) 366-8850
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545350400000",
"number": "1770055238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N GLEBE RD STE 4000",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031824",
"telephone_number": "571-366-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 FOREST AVE STE 200",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232294946",
"telephone_number": "571-366-8850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVIA WOMENS HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-21",
"last_updated": "2018-12-21",
"status": "A",
"authorized_official_last_name": "IVESS",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "ASSOCIATE DIRECTOR, CREDENTIALING",
"authorized_official_telephone_number": "571-366-8831"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": false
}
],
"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 Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.