Convenient Healthcare VA, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONVENIENT HEALTHCARE VA, LLC

Practice address

2208 Executive Dr Ste D
Hampton, VA 23666-6603

Phone

(757) 964-9111

Fax

(757) 751-0774

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Charlene Danielle Bell, FNP-C

Title

Owner

Phone

(757) 504-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1831754324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR STE D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-964-9111",
            "fax_number": "757-751-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR STE D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-964-9111",
            "fax_number": "757-751-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENT HEALTHCARE VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-504-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134676117",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHCVA@OUTLOOK.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2208 Executive Dr Ste D",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236666603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.CONVENIENTHEALTHCAREVA.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2208 Executive Dr Ste D",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236666603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in Hampton, VA
• Providers in Hampton, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.