NEW LIFE WELLNESS CENTER (NPI# 1417008699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417008699 |
| Entity Type | Organization |
| Organization Name | NEW LIFE WELLNESS CENTER |
| Practice Address |
243 Church St Nw Suite 300b Vienna VA 22180-4434 |
| Practice Telephone | 7032427474 |
| Mailing Telephone | 7032427474 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KATHRYN ANNE THOMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7032427474 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104001088 | VA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568643625 | New Life Wellness Center | Clinic/Center | 6640 Gunpark Dr, Suite 100, Boulder, CO 80301-7000 | 2007-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | New Life Wellness Center LLC | Po Box 19884, Boulder, CO 80308 |
| Street Address |
243 CHURCH ST NW SUITE 300B |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005537 | Linda Park Nims | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2005-06-29 |
| 1538453683 | Alexandra Kaghan, Lcsw, LLC | Counselor | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2011-06-07 |
| 1528388501 | Patricia Velkoff, Ph.d., P.C. | Clinic/Center | 243 Church St Nw, Suite 300-a, Vienna, VA 22180-4434 | 2010-06-01 |
| 1386810299 | Dermatology & Dermatologic Surgery Group of Northern Virginia Pllc | Dermatology | 243 Church St Nw, Vienna, VA 22180-4434 | 2008-05-01 |
| 1134252455 | Kelley Pagliai Redbord | Dermatology | 243 Church St Nw, Suite 200-c, Vienna, VA 22180-4434 | 2007-03-14 |
| 1760533814 | Mark Allen Chalfant | Chiropractor | 243 Church St Nw, Suite 300b, Vienna, VA 22180-4434 | 2007-01-16 |
| 1255482436 | Kathryn Anne Thompson | Chiropractor | 243 Church St Nw, Suite 300b, Vienna, VA 22180-4434 | 2007-01-15 |
| 1528115953 | Barbara Caceres | Social Worker | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2007-01-05 |
| 1174698682 | Alice Kassabian Phd Lcsw Ltd | Social Worker | 243 Church St Nw, Suite 300a, Vienna, VA 22180-4434 | 2006-11-21 |
| 1619049632 | Linda P Nims Md & Assoc | Dermatology | 243 Church St Nw, Suite 200 C, Vienna, VA 22180-4434 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874043 | Anam Malik | Chiropractor | 610 Truman Cir Sw, Vienna, VA 22180-6422 | 2020-09-02 |
| 1407493992 | Rxwellness Spine & Health - Tysons Mclean LLC | Chiropractor | 8609 Westwood Center Dr Ste 620, Vienna, VA 22182-7521 | 2019-12-04 |
| 1225699234 | Aidan O'brien | Chiropractor | 410 Pine St Se Ste 320, Vienna, VA 22180-4861 | 2019-06-21 |
| 1891274411 | Total Performance Chiropractic LLC | Chiropractor | 8245 Boone Blvd Ste 110, Vienna, VA 22182-3813 | 2018-08-14 |
| 1699270173 | Dr Faranak Taheri | Chiropractor | 8206 Leesburg Pike Ste 201, Vienna, VA 22182-2614 | 2018-03-27 |
| 1699223693 | Daniel C Kim | Chiropractor | 2730 Gallows Rd, Apt 320, Vienna, VA 22180-7476 | 2016-09-19 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1700138013 | Kevin Allen Naples | Chiropractor | 8609 Westwood Center Dr # 620, Vienna, VA 22182-7521 | 2012-10-10 |
| 1497083729 | Palmercare Chiropractic Vienna LLC | Chiropractor | 303 Maple Ave W Ste B, Vienna, VA 22180-4312 | 2009-11-24 |
| 1265675250 | Good Day Total Health Clinic PC | Chiropractor | 8603 Westwood Center Dr Ste 200, Vienna, VA 22182-2230 | 2009-04-07 |
| Find all providers in VIENNA | ||||
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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.