Renewed Vitality & Age Management, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RENEWED VITALITY & AGE MANAGEMENT, PLLC

Practice address

13141 Eppes Falls Rd
Chesterfield, VA 23838-1261

Phone

(804) 412-8384

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Lawrence R Palmiter Jr., FNP-CNPI 1770095580

Title

Owner

Phone

(804) 412-8343

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Ray Palmiter Jr., FNP-C

  • Family Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1770095580
  NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1972086247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13141 EPPES FALLS RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238381261",
            "telephone_number": "804-412-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13141 EPPES FALLS RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238381261",
            "telephone_number": "804-412-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED VITALITY & AGE MANAGEMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "PALMITER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-412-8343",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cecelia Renard, RD, LD
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• Shannon Lynnette Reynolds
• William Humphrey Rhea, DDS
• Tina Marie Rhodes, LPC
• Riccobene & Associates CC, DDS, PC

• Primary Care Clinic/Center in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.