CAVERY WELLNESS OF WOODBRIDGE (NPI# 1831620251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831620251 |
| Entity Type | Organization |
| Organization Name | CAVERY WELLNESS OF WOODBRIDGE |
| Other Organization Name | MEDI-WEIGHTLOSS WOODBRIDGE |
| Practice Address |
14330 Gideon Dr Woodbridge VA 22192-4640 |
| Mailing Address |
14330 Gideon Drive Woodbridge VA 22192 |
| Practice Telephone | 9105280517 |
| Mailing Telephone | 9105280517 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Authorized Official Name | MRS. CHRISTY MICHELLE HARSHBERGER (OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 9105280517 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
0101235208D | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medi-WeightLoss Woodbridge | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Cavery Wellness of Woodbridge LLC | 14610 Sulky Run Ct., Nokesville, Virginia 20181 |
| Street Address |
14330 GIDEON DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518155126 | Northern Virginia Area Bariatric Consultants | Family Medicine | 2010a Opitz Blvd, Woodbridge, VA 22191 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457818221 | Bruce Lucero | Family Medicine | 7116 Bedstraw Ct, Springfield, VA 22152-3158 | 2019-02-27 |
| 1508212184 | Honest Medical Weight Loss LLC | Family Medicine | 4500 Southgate Pl Ste 200, Chantilly, VA 20151-1714 | 2016-05-12 |
| 1598141863 | Midlothian Wellness Clinic, LLC | Family Medicine | 230 Browns Way Rd, Midlothian, VA 23114-9501 | 2015-08-10 |
| 1407232770 | Short Pump Wellness Clinic, LLC | Family Medicine | 11551 Nuckols Rd, Suite C, Glen Allen, VA 23059-5565 | 2015-08-10 |
| 1790100477 | Lansdowne Weightloss & Wellness LLC | Family Medicine | 19500 Sandridge Way, # 170, Leesburg, VA 20176-3688 | 2014-03-04 |
| 1770745903 | Nicanor C Sutingco | Family Medicine | 2214 Executive Dr, Ste. B, Hampton, VA 23666-6606 | 2008-06-29 |
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.