MBS CHILD WELLNESS CENTER (NPI# 1023629862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023629862 |
| Entity Type | Organization |
| Organization Name | MBS CHILD WELLNESS CENTER |
| Practice Address |
240 S Second St Hampton VA 23664-1407 |
| Mailing Address |
Po Box 3062 Hampton VA 23663-0062 |
| Practice Telephone | 7679026108 |
| Mailing Telephone | 7579026108 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | MS. MICHELLE WISE (OWNER) |
| Authorized Official Telephone | 7579026108 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bumps to Bundles Child Wellness Center | Other Name - Individual/Organization |
| Street Address |
240 S SECOND ST |
| City | HAMPTON |
| State | VA |
| Zip Code | 23664-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942261466 | Michelle Tonia Wise | Registered Nurse | 240 S Second St, Hampton, VA 23664-1407 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1518217959 | Nicholas J Kenney | Behavioral Analyst | 15 Seaview Dr, Hampton, VA 23664-1027 | 2012-09-13 |
| 1538496625 | Suzanne Claire Loughman | Counselor | 151 Atlantic Ave, Suite C, Hampton, VA 23664-1087 | 2009-11-10 |
| 1669855011 | David Miller | Dentist | 131 Atlantic Ave, Unit B, Hampton, VA 23664-1095 | 2015-07-02 |
| 1437314754 | Wormill Inc. | Durable Medical Equipment & Medical Supplies | 2002 E Pembroke Ave, Hampton, VA 23664-1111 | 2008-07-25 |
| 1467920710 | Maria Lana Rudd | Respiratory Therapist, Registered | 2122 E Pembroke Ave, Hampton, VA 23664-1113 | 2018-11-05 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1982152765 | Ardelia Williams | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-21 |
| 1922557164 | Debra La Salvia | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-29 |
| 1134530157 | Victoria Stutts | Dietitian, Registered | 2610 E Pembroke Ave, Hampton, VA 23664-1248 | 2014-05-13 |
| Find all providers in zip 23664 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.