Active NPI
DC Recreations & Resources
- Prevention Professional
- Henrico, VA
National Provider Identifier
1972378800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- DC RECREATIONS & RESOURCES
- Practice address
- 405 East Laburnum Ave
Suite 3
Henrico, VA 23222 - Phone
- (804) 625-1770
- NPI assigned
- Nov 21, 2023
- 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
- Dominica Merriwether
- Title
- Executive Director
- Phone
- (804) 625-1770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | Primary |
Addresses
Primary practice location
405 East Laburnum Ave
Suite 3
Henrico, VA 23222
Mailing address
7916 Provincetown Dr
North Chesterfield, VA 23235-5324
Phone (631) 299-9707
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1972378800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 PROVINCETOWN DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232355324",
"telephone_number": "631-299-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 EAST LABURNUM AVE",
"address_2": "SUITE 3",
"city": "HENRICO",
"state": "VA",
"postal_code": "23222",
"telephone_number": "804-625-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DC RECREATIONS & RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-21",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "MERRIWETHER",
"authorized_official_first_name": "DOMINICA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "804-625-1770"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.