JOURNEY HEALTH & WELLNESS LLC (NPI# 1720616295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720616295 |
| Entity Type | Organization |
| Organization Name | JOURNEY HEALTH & WELLNESS LLC |
| Practice Address |
2200 Pump Rd Ste 101 Richmond VA 23233-3539 |
| Practice Telephone | 8043017701 |
| Practice Fax Number | 8042078855 |
| Mailing Telephone | 8044166673 |
| Mailing Fax Number | 8048869046 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | ANGELA TUCKER ANDERSON (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 8044166673 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Journey Health & Wellness LLC | 2200 Pump Rd Ste 101, Henrico, Virginia 23233-3539 |
| Street Address |
2200 PUMP RD STE 101 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528314556 | Angela Tucker Anderson | Nurse Practitioner | 2200 Pump Rd Ste 101, Richmond, VA 23233-3539 | 2012-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1497245500 | Alliance Physician Services Pllc | Clinic/Center | 4004 Harcourt Ln, Richmond, VA 23233-1776 | 2018-05-14 |
| 1619475449 | Huberte Kouensoh | Clinic/Center | 5603 Gemstone Park Rd, Richmond, TX 77407-4165 | 2018-01-26 |
| 1932611019 | Family Care Professional Limited Liability Company | Clinic/Center | 3190 Irvine Rd., Richmond, KY 40475-4047 | 2017-10-30 |
| 1770993933 | Epic Family Care, Pllc | Clinic/Center | 7417 West Grand Parkway South, Suite 500, Richmond, TX 77406 | 2014-04-28 |
| 1720389430 | Madison County Clinic | Clinic/Center | 946 Commercial Dr, Unit 3, Richmond, KY 40475-3431 | 2010-11-11 |
| 1265750616 | Michelle Latham | Clinic/Center | 8210 Whistler Rd, Richmond, VA 23227-1527 | 2010-05-10 |
| 1255515474 | Matthew C. Lee | Clinic/Center | 1617 Monument Ave, Suite 302, Richmond, VA 23220-2943 | 2007-12-24 |
| 1457489700 | Anil Harrison M.d. Psc | Clinic/Center | 1054 Center Dr Ste 2, Richmond, KY 40475-3851 | 2007-03-01 |
| 1871100438 | Advanced Healthcare Practice LLC | Clinic/Center | 7422 Shady Lake Grv, Richmond, TX 77407-3181 | 2020-09-28 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on JOURNEY HEALTH & WELLNESS LLC.
| 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.