Organization Active NPI

Hope Clinic of Farmville

  • Primary Care Clinic/Center
  • Farmville, VA
National Provider Identifier
1851931877
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOPE CLINIC OF FARMVILLE
Practice address
1100 W 3Rd St
Farmville, VA 23901-2628
Phone
(434) 394-2422
Fax
(434) 394-2435
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Tammy J Wingo, FNP-CNPI 1639172182
Title
Owner/Nurse Practitioner
Phone
(434) 394-2422

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1100 W 3Rd St
Farmville, VA 23901-2628

Mailing address

PO Box 585
Farmville, VA 23901-0585
Phone (434) 394-2422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjwingo@icloud.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200319003032 VA Part B Supplier - Clinic/Group Practice 9133557424 Receives reassigned benefits from 1 practitioner
Practice locations: Farmville, VA

National Provider Directory

National Provider Directory

Locations

1100 W 3rd St
Farmville, VA 23901
Phone (434) 392-7859

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": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1851931877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010585",
            "telephone_number": "434-394-2422",
            "fax_number": "434-394-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012628",
            "telephone_number": "434-394-2422",
            "fax_number": "434-394-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CLINIC OF FARMVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "WINGO",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "434-394-2422",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjwingo@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Farmville",
            "address_1": "1100 W 3rd St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239012628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.

Verify at the official NPI Registry.