Vivo Infusion Virginia LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VIVO INFUSION VIRGINIA LLC

Practice address

5450 Wyndham Forest Dr Ste 6-02
Glen Allen, VA 23059-5942

Phone

(855) 478-1528

NPI assigned

Apr 26, 2024

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

VIVO INFUSION VIRGINIA LLCAs reported in NPPES

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

Authorized official

Name

Renee Worsham

Title

Manager, Credentialing & Enrollment

Phone

(303) 384-4064

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Midlothian, VA
  • NPI 1972295277

  O20240304000507

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Vivo Infusion Virginia LLC2 organizations share this tax ID, including this one

Part of

Vivo Infusion Virginia LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Midlothian, VA
  • NPI 1972295277
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Midlothian, VA
  • NPI 1972295277
  NPPES parent name

Practitioners 7

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.

• Brooke Lorrin Shamblin Gray, FNP

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1245030154

  DC

  Medicare reassignment Care Compare group NPD
• Kathleen Britton, NP

  • Family Nurse Practitioner
  • Woburn, MA
  • NPI 1285318782

  DC, VA

  Medicare reassignment Care Compare group NPD
• Kristina Marie Stallard, MS, RN, NP-C

  • Family Nurse Practitioner
  • Englewood, OH
  • NPI 1972953032

  DC, VA

  Medicare reassignment Care Compare group NPD
• Linesary Cezaire

  • Family Nurse Practitioner
  • Brockton, MA
  • NPI 1467950741

  DC, VA

  Medicare reassignment NPD
• Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1275924169

  DC, VA

  Medicare reassignment NPD
• Robert Singh, M.D.

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1154447175

  DC, VA

  Medicare reassignment NPD
• Emma Singh, M.D.

  • Family Medicine Physician
  • Royersford, PA
  • NPI 1295927150
  NPD (past)

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1902652340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013262",
            "telephone_number": "855-478-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 WYNDHAM FOREST DR STE 6-02",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595942",
            "telephone_number": "855-478-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13632 Hull Street Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122108",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Central Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "22401",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Rolkin Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229113582",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8004 Timberlake Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022627",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "fax_number": "972-598-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11725 Route 29 Ste 13",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220308800",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "659 Potomac Station Dr NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201761818",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2704 Richmond Hwy",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223011026",
            "country_code": "US",
            "telephone_number": "855-478-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIVO INFUSION VIRGINIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIVO INFUSION VIRGINIA LLC",
        "enumeration_date": "2024-04-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "WORSHAM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER, CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "303-384-4064"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Infusion Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.