VIRTUAL PREVENTIVE CARE SERVICES NPI 1114803061

NPI Information

  • NPI: 1114803061
  • Provider Name: VIRTUAL PREVENTIVE CARE SERVICES
  • Classification: Family Medicine - 207QP0002X
  • Specialization: Physician Nutrition Specialist
  • Entity Type: Organization
  • Address: 160 LONG LN STE 3
    UPPER DARBY, PA
    ZIP 19082
  • Phone: (215) 847-7711

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NPI Details

VIRTUAL PREVENTIVE CARE SERVICES is a physician nutrition specialist medicine in Upper Darby, PA. The provider is a physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support of diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer’s, hospital malnutrition screening, and perioperative nutrition. VIRTUAL PREVENTIVE CARE SERVICES NPI is 1114803061. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 LONG LN STE 3
UPPER DARBY, PA
ZIP 19082-439
Phone: (215) 847-7711

The provider's authorized official is Katina Vivian Carter-geiger .
The authorized official title is Ceo and has the following contact phone number (484) 661-2257.

The enumeration date for this NPI number is 8/14/2025 and was last updated on 8/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1002XInternal MedicinePhysician Nutrition SpecialistNo
2207QP0002XFamily MedicinePhysician Nutrition SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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