Organization Active NPI

Pinkslayer Community Outreach

Doing business as PinkSlayer Community Outreach Wellness Center

  • Durable Medical Equipment & Medical Supplies
  • Suffolk, VA
National Provider Identifier
1962220541
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PINKSLAYER COMMUNITY OUTREACH
Doing business as
PinkSlayer Community Outreach Wellness Center
Practice address
3920A Bridge Rd Ste 305
Suffolk, VA 23435-1126
Phone
(757) 240-8127
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mrs. Kristie Fields, MHSNPI 1710705488
Title
Ceo
Phone
(757) 240-8127

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3920A Bridge Rd Ste 305
Suffolk, VA 23435-1126

Mailing address

1005 Jefferson St
Suffolk, VA 23434-4012
Phone (757) 240-8127

Other names 1

  • PinkSlayer Community Outreach Wellness Center Doing business as

National Provider Directory

National Provider Directory

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": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1962220541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 JEFFERSON ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344012",
            "telephone_number": "757-240-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920A BRIDGE RD STE 305",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351126",
            "telephone_number": "757-240-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKSLAYER COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-240-8127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PinkSlayer Community Outreach Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.