Recorian Wellness Services, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RECORIAN WELLNESS SERVICES, LLC

Practice address

8324 Bell Creek Rd Ste 100
Mechanicsville, VA 23116-3848

Phone

(804) 522-5500

Fax

(804) 522-5501

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Herbert Jerome Cummings

Title

Ceo

Phone

(804) 690-3836

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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

• Melissa Stephens, PA-C

  • Physician Assistant
  • Mechanicsville, VA
  • NPI 1023859766
  NPD
• Fletcher K Bennett-Gayle, P.A.-C

  • Physician Assistant
  • Midlothian, VA
  • NPI 1750307690
  NPD (past)
• Kristi Nicole Bostic

  • Nurse Practitioner
  • Glen Allen, VA
  • NPI 1184584690
  NPD (past)
• Letitia Aleshia Cofield, NURSE PRACTITIONER

  • Nurse Practitioner
  • Glen Allen, VA
  • NPI 1831719822
  NPD (past)
• Afsaneh Farjadi, FNP

  • Family Nurse Practitioner
  • Mechanicsville, VA
  • NPI 1720743644
  NPD (past)
• Aubrey Munoz

  • Physician Assistant
  • Colonial Heights, VA
  • NPI 1164099859
  NPD (past)
• Johnee Nedrick, FNP

  • Family Nurse Practitioner
  • Emporia, VA
  • NPI 1306541404
  NPD (past)
• William H O'Neal, PA

  • Physician Assistant
  • Richmond, VA
  • NPI 1811968563
  NPD (past)
• Tarah Danielle Slate, NP

  • Family Nurse Practitioner
  • North Dinwiddie, VA
  • NPI 1235951484
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1982209284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 STEVENS STREET",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23231",
            "telephone_number": "804-690-3836",
            "fax_number": "804-522-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 BELL CREEK RD STE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163848",
            "telephone_number": "804-522-5500",
            "fax_number": "804-522-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECORIAN WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-690-3836"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quincy A Ray, PT, DPT
• William Berkley Rayfield, RPH
• Keenan Rea, PHARMD
• Realign Your Mind Counseling Services
• Reboot LLC
• Melissa Redfearn, SLP
• Elizabeth Carol Redford, CF-SLP
• Rediclinic LLC
• Ashlee Murphy Reed, LCSW, M.DIV
• Brittany Reed

• Adult Medicine Physician in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.