Vivo Infusion Virginia LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VIVO INFUSION VIRGINIA LLC

Practice address

13632 Hull Street Rd
Midlothian, VA 23112-2108

Phone

(720) 465-5030

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Sue Ellen Rottura

Title

Coo

Phone

(561) 323-8987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Glen Allen, VA
  • NPI 1902652340

  O20240304000507

  Same enrollment

Tax ID family

Vivo Infusion Virginia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Glen Allen, VA
  • NPI 1902652340
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vivo Infusion Virginia LLC

  • Infusion Therapy Clinic/Center
  • Glen Allen, VA
  • NPI 1902652340
  NPPES parent name

Practitioners 5

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

• Kathleen Britton, NP

  • Family Nurse Practitioner
  • Woburn, MA
  • NPI 1285318782
  NPD
• Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1275924169
  NPD
• Robert Singh, M.D.

  • Vascular Surgery Physician
  • Philadelphia, PA
  • NPI 1154447175
  NPD
• Kristina Marie Stallard, MS, RN, NP-C

  • Family Nurse Practitioner
  • Englewood, OH
  • NPI 1972953032
  NPD
• Linesary Cezaire

  • Family Nurse Practitioner
  • Brockton, MA
  • NPI 1467950741
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1972295277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13632 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122108",
            "telephone_number": "720-465-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO INFUSION VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Waagen, PT

• Infusion Therapy Clinic/Center in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Infusion Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.