Active NPI
Mantra Weight Loss, PLLC
- Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1932957735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MANTRA WEIGHT LOSS, PLLC
- Doing business as
- Mantra Aesthetic Studio
- Practice address
- 3009 Elm Tree CT
Virginia Beach, VA 23452-6796 - Phone
- (757) 201-0843
- NPI assigned
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erika Cook
- Title
- Owner
- Phone
- (757) 201-0843
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
3009 Elm Tree CT
Virginia Beach, VA 23452-6796
Mailing address
3009 Elm Tree CT
Virginia Beach, VA 23452-6796
Other names 1
- Mantra Aesthetic Studio
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1457860157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1932957735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 ELM TREE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 ELM TREE CT",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234526796",
"telephone_number": "757-201-0843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTRA WEIGHT LOSS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "ERIKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-201-0843"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mantra Aesthetic Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.