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LOVE THE TREE OF LIFE CLINIC NPI 1528844693


NPI Information

NPI: 1528844693
Provider Name: LOVE THE TREE OF LIFE CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 49D2288332

Address:
2016 25TH ST
NEWPORT NEWS, VA
ZIP 23607
Phone: (757) 726-7135
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LOVE THE TREE OF LIFE CLINIC is a clinic center in Newport News, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LOVE THE TREE OF LIFE CLINIC NPI is 1528844693. The provider is registered as an organization entity type.

The provider's business location address is:

2016 25TH ST
NEWPORT NEWS, VA
ZIP 23607-512
Phone: (757) 726-7135

The provider's authorized official is Carmen I. Johnson-martell Dnp, Fnp-d .
The authorized official title is President, Founder, Clinican and has the following contact phone number (757) 915-5781.

The CLIA number assigned to this NPI record is 49D2288332 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/5/2023 and was last updated on 9/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.