Active NPI
NSG Wellness LLC
- Nurse Practitioner
- Hampton, VA
National Provider Identifier
1780399386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NSG WELLNESS LLC
- Practice address
- 210 Lowden Hunt Dr
Hampton, VA 23666-2248 - Phone
- (757) 712-4767
- NPI assigned
- Jan 18, 2023
- 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
- Noelle S Green, NP
- Title
- Owner
- Phone
- (757) 712-4767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
210 Lowden Hunt Dr
Hampton, VA 23666-2248
Mailing address
110 Coliseum Xing # 5462
Hampton, VA 23666-5971
Phone (757) 712-4767
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SHARENOTE | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1919 Commerce Dr
Ste 240
Hampton, VA 23666
Phone (757) 291-3339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674000000000",
"number": "1780399386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 COLISEUM XING # 5462",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236665971",
"telephone_number": "757-712-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 LOWDEN HUNT DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662248",
"telephone_number": "757-712-4767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NSG WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "NOELLE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-712-4767",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SHARENOTE",
"affiliation": "N",
"endpointDescription": "OFFICE SERVER",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PRACTICE SOFTWARE",
"address_1": "110 Coliseum Xing # 5462",
"city": "Hampton",
"state": "VA",
"country_code": "US",
"postal_code": "236665971",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.