Livewell Passport of Va LLC
NPI 1366136418 · Family Medicine Physician · Midlothian, VA
Livewell Passport of Va LLC is a Family Medicine Physician organization in Midlothian, VA (NPI 1366136418).
Provider details
- NPI number
- 1366136418
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremiah Fabry, Manager(804) 229-1554
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Frequently asked questions
- What is Livewell Passport of Va LLC's NPI number?
- Livewell Passport of Va LLC's National Provider Identifier (NPI) is 1366136418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Livewell Passport of Va LLC?
- Livewell Passport of Va LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Livewell Passport of Va LLC located?
- Livewell Passport of Va LLC's practice location on file with NPPES is 13553 Midlothian Tpke, Midlothian, VA 23113-4261.
- What is Livewell Passport of Va LLC's phone number?
- The practice phone number listed in the NPPES registry for Livewell Passport of Va LLC is (804) 229-1554.
- Who is the authorized official for Livewell Passport of Va LLC?
- The authorized official listed on Livewell Passport of Va LLC's NPPES record is Jeremiah Fabry, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Livewell Passport of Va LLC's NPI active?
- Yes — Livewell Passport of Va LLC's NPI (1366136418) is active in the NPPES registry as of the last update on 2023-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.