Holistic Longevity Center
Holistic Longevity Center is a healthcare organization registered as Nutritionist in Woodbridge, VA, holding Type 2 (organization) NPI 1649118811 since 2026. The authorized official on file is Jamie Bullard, Owner/Nutritionist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649118811 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Holistic Longevity Center |
| Practice address | 14017 TELEGRAPH RD, Woodbridge, VA, 22192 |
| Phone | 7039877444 |
| Enumeration date | 2026-03-23 |
| Last updated in NPPES | 2026-03-23 |
Authorized official
| Name | Jamie Bullard |
|---|---|
| Title | Owner/Nutritionist |
| Phone | 7039877444 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133N00000X | Nutritionist | Primary | — | — |
Copy-ready billing details
Provider: Holistic Longevity Center NPI: 1649118811 Taxonomy: 133N00000X (Nutritionist) Address: 14017 TELEGRAPH RD, Woodbridge, VA, 22192
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962387860 | Jamie Bullard | Individual | Nutritionist | Woodbridge, VA |
| 1144151168 | Healing Spectrum LLC | Organization | Mental Health Counselor | Woodbridge, VA |
Verify this record
Cross-check NPI 1649118811 against the authoritative CMS record: view Holistic Longevity Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Holistic Longevity Center?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-23.