Organization Active NPI

Paramount Health and Wellness PLLC

  • Family Nurse Practitioner
  • Portsmouth, VA
National Provider Identifier
1790563625
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PARAMOUNT HEALTH AND WELLNESS PLLC
Practice address
3220 Academy Ave
Portsmouth, VA 23703-3203
Phone
(757) 809-7807
NPI assigned
Sep 20, 2023
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Dr. Relindis Nange Nsofon MutiaNPI 1518453760
Title
Founder
Phone
(757) 809-7807

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

3220 Academy Ave
Portsmouth, VA 23703-3203

Mailing address

104 Hawks Nest LN
Suffolk, VA 23435-3272
Phone (757) 338-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240628000018 VA Part B Supplier - Clinic/Group Practice 4981148145 Receives reassigned benefits from 3 practitioners
Practice locations: Portsmouth, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2306165Paramount Health and Wellness PLLC3220 Academy Avenue, Portsmouth, VA 23703Certificate of waiverJun 11, 2028

National Provider Directory

National Provider Directory

Locations

3220 Academy Ave
Portsmouth, VA 23703
Phone (757) 338-7412

Practitioners & affiliated clinicians

Practitioners 3

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": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1790563625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HAWKS NEST LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353272",
            "telephone_number": "757-338-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033203",
            "telephone_number": "757-809-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "NSOFON MUTIA",
        "authorized_official_first_name": "RELINDIS",
        "authorized_official_middle_name": "NANGE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "757-809-7807",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.