FOUR CROWNE LEGACY LLC
NPI 1033092903
Nurse Practitioner - Psychiatric/Mental Health in Newport News, VA

Q: What is Four Crowne Legacy LLC's NPI number?

The NPI number for Four Crowne Legacy LLC is 1033092903. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Crowne Initiative Services.

Q: What is Four Crowne Legacy LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 29, 2025

6147 JEFFERSON AVE OFC 2, NEWPORT NEWS, VA 23605(757) 504-2191 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Four Crowne Legacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR CROWNE LEGACY LLC (NPI 1033092903), doing business as Crowne Initiative Services, is a healthcare organization registered as a psychiatric/mental health in Newport News, Virginia and active in the NPI registry since July 2025. The organization lists Ednora Bradley Mason, Partner, as its authorized official.

NPPES Registry Identity

NPI1033092903

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameFOUR CROWNE LEGACY LLC

Location Address6147 JEFFERSON AVE OFC 2Newport News, VA 23605-1511

Mailing Address317 Peach Tree CresNewport News, VA 23602-7494 · (757) 504-2191

Phone(757) 504-2191

Organization SubpartNo

Authorized OfficialEdnora Bradley MasonPartner · (757) 826-1300

Enumeration DateJuly 29, 2025

Last NPPES UpdateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1033092903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

6147 JEFFERSON AVE OFC 2, Newport News, VA 23605

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Other Names 1

Doing Business AsCrowne Initiative Services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Crowne Legacy LLC's NPI number?

The NPI number for Four Crowne Legacy LLC is 1033092903. It was assigned to this organization in the NPPES registry on July 29, 2025. The provider is doing business as Crowne Initiative Services.

Where is Four Crowne Legacy LLC located?

Four Crowne Legacy LLC is located at 6147 Jefferson Ave Ofc 2, Newport News, VA 23605. The listed phone number is (757) 504-2191.

What is Four Crowne Legacy LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Four Crowne Legacy LLC was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.