Allegiant Health Services

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024174111 Issued in VA

Legal business name

ALLEGIANT HEALTH SERVICES

Doing business as

Whole Family Wellness Center

Practice address

2147 Old Greenbrier Rd
Chesapeake, VA 23320-2635

Phone

(757) 306-1300

Fax

(507) 609-3013

NPI assigned

May 29, 2018

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tysheena Lanee Jones, FNP-C

Title

Nurse Practitioner/Owner

Phone

(757) 344-0822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Whole Family Wellness Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1932690658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 RAVINE GAP DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234343055",
            "telephone_number": "757-344-0822",
            "fax_number": "507-609-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 OLD GREENBRIER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202635",
            "telephone_number": "757-306-1300",
            "fax_number": "507-609-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Ravine Gap Dr",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "23434",
            "country_code": "US",
            "telephone_number": "757-344-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEGIANT HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYSHEENA",
        "authorized_official_middle_name": "LANEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "757-344-0822",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "I10",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AthenaNet",
            "affiliation": "N",
            "endpointDescription": "Health EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2147 Old Greenbrier Rd",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233202635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Whole Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Nurse Practitioner in Virginia

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