Organization Active NPI

Haven Rise Health Care

  • Primary Care Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1962332189
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HAVEN RISE HEALTH CARE
Practice address
1702 Todds LN Ste 305
Hampton, VA 23666-3199
Phone
(804) 944-6261
Fax
(904) 372-6121
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Carlita LewisNPI 1275170417
Title
President
Phone
(804) 944-6261

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 Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1702 Todds LN Ste 305
Hampton, VA 23666-3199

Mailing address

4760 Bishops Gate Way
Providence Forge, VA 23140-4438
Phone (804) 944-6261

National Provider Directory

National Provider Directory

Locations

1702 Todds Ln
Ste 345
Hampton, VA 23666
Phone (804) 773-9008

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": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1962332189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BISHOPS GATE WAY",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231404438",
            "telephone_number": "804-944-6261",
            "fax_number": "904-372-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 TODDS LN STE 305",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663199",
            "telephone_number": "804-944-6261",
            "fax_number": "904-372-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN RISE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CARLITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-944-6261"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.