Organization Active NPI

Eehim Inc

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1770088924
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EEHIM INC
Practice address
714 J Clyde Morris Blvd Ste 160
Newport News, VA 23601-1500
Phone
(757) 255-8546
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Brandon Burr, NP
Title
Director
Phone
(757) 255-8546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

714 J Clyde Morris Blvd Ste 160
Newport News, VA 23601-1500

Mailing address

714 J Clyde Morris Blvd Ste 160
Newport News, VA 23601-1500
Phone (757) 255-8546

Other practice location 1

11022 Nicholas Ln Ste 2
Berlin, MD 21811-3352
Phone (410) 941-8010

Other identifiers 1

IdentifierTypeStateIssuer
1902848284MedicaidVA

Other names 1

  • 757 Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

11022 Nicholas Ln
Ste 2
Berlin, MD 21811
Phone (410) 941-8010

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1770088924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 J CLYDE MORRIS BLVD STE 160",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011500",
            "telephone_number": "757-255-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 J CLYDE MORRIS BLVD STE 160",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011500",
            "telephone_number": "757-255-8546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11022 Nicholas Ln Ste 2",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113352",
            "country_code": "US",
            "telephone_number": "410-941-8010",
            "fax_number": "410-941-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EEHIM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-255-8546",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902848284",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "757 Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "757 Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.