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LIVEWELL PASSPORT OF VA LLC
NPI 1366136418
Family Medicine in Midlothian, VA

Active since June 02, 2023
13553 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113(804) 229-1554(844) 777-1754 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Livewell Passport Of Va Llc NPPES

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

LIVEWELL PASSPORT OF VA LLC (NPI 1366136418) is a healthcare organization registered as a family medicine in Midlothian, Virginia and active in the NPI registry since June 2023. The organization lists Jeremiah D Fabry, Manager, as its authorized official.

NPPES Registry Identity

NPI1366136418
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVEWELL PASSPORT OF VA LLC
Location Address13553 MIDLOTHIAN TPKEMidlothian, VA 23113-4261
Mailing Address15801 Swindon WayMidlothian, VA 23112-5531 · (804) 229-1554 · Fax (844) 777-1754
Phone(804) 229-1554
Fax(844) 777-1754
Organization SubpartNo
Authorized OfficialJeremiah D FabryManager · (804) 229-1554
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1366136418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13553 MIDLOTHIAN TPKE, Midlothian, VA 23113
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMIAH DAUN FABRY DC, FNP
Nurse Practitioner (Family)
13553 MIDLOTHIAN TPKE
MIDLOTHIAN, VA 23113
Chesterfield County (804) 229-1554
PRIMARY SQUARE INC.
Family Medicine
13553 MIDLOTHIAN TPKE
MIDLOTHIAN, VA 23113
Chesterfield County (804) 614-8619

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 Livewell Passport Of VA LLC's NPI number?

The NPI number for Livewell Passport Of VA LLC is 1366136418. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Livewell Passport Of VA LLC located?

Livewell Passport Of VA LLC is located at 13553 Midlothian Tpke, Midlothian, VA 23113. The listed phone number is (804) 229-1554.

What is Livewell Passport Of VA LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Livewell Passport Of VA LLC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.