Active NPI
Eehim Inc
- Family Nurse Practitioner
- Newport News, VA
National Provider Identifier
1770088924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902848284 | Medicaid | VA |
Other names 1
- 757 Family Medicine
National Provider Directory
National Provider DirectoryLocations
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.