Organization Active NPI

Colonial Aesthetics & Wellness

  • Family Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1770304073
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COLONIAL AESTHETICS & WELLNESS
Practice address
1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362
Phone
(757) 585-4162
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Brittany Stroud Ptachick, FNPNPI 1053866707
Title
FNP/Owner
Phone
(757) 532-3563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362

Mailing address

1313 Jamestown Rd Ste 101
Williamsburg, VA 23185-3362
Phone (757) 585-4162

National Provider Directory

National Provider Directory

Locations

1313 Jamestown Rd
Ste 101
Williamsburg, VA 23185
Phone (757) 585-4162

Practitioners & affiliated clinicians

Practitioners 1

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1770304073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853362",
            "telephone_number": "757-585-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 JAMESTOWN RD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853362",
            "telephone_number": "757-585-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL AESTHETICS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "PTACHICK",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "STROUD",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "757-532-3563",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.