First Light Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIRST LIGHT CLINIC LLC

Practice address

706 Campbell Ave SW
Roanoke, VA 24016-3534

Phone

(540) 400-7841

Fax

(540) 400-8177

NPI assigned

Feb 17, 2020

Organization subpart

No

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

Authorized official

Name

Kelley Burnette

Title

Office Manager

Phone

(540) 400-7841

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kunal Tushardev Joshi, MD

  • Hospitalist Physician
  • Roanoke, VA
  • NPI 1598078651
  NPD

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1851924088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163534",
            "telephone_number": "540-400-7841",
            "fax_number": "540-400-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 CAMPBELL AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163534",
            "telephone_number": "540-400-7841",
            "fax_number": "540-400-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-400-7841"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Fintel, D.D.S.
• William A Fintel, M.D.
• Ellen McLean Fiorda, SLP
• Gwinn S Firing, RD
• First Call Ambulance Service of Virginia, LLC
• Suzanne W Fischer, CNP
• Amy Katelyn Fisher, CRNA
• Jennifer Lynn Fisher, OTR/L
• Matthew Fisher, CRNA, RN
• Michael Jacob Fisher, CSAC-S,

• Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.