Mind Body Soul Wonderfully Made
NPI 1457139354ActiveOrganization· Nurse Practitioner· Portsmouth, VA
Nurse Practitioner in Portsmouth, Virginia, registered in NPPES in September 2023. The authorized official on file is Tiffany Davis, FNP, PMHNP, Owner.
Overview
| NPI | 1457139354 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2023 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Nurse Practitioner providers in Portsmouth
- 1003968884
- 1740726199
- 1922021815
- 1518883073
- 1215907183
- 1336726447
- 1710632021
- 1235064791
- 1215246939
- 1336782788
- 1417341355
- 1780081018