# KAPTIVATIVE KONSULTANTS PLLC DBA KAPTIVATIVE CARE AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaptivative Care and Wellness, Kaptivative Minds
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124904727
- **Authorized official:** SHERRY RITA JOHNSON FNP (OWNER/OPERATOR)
- **Authorized official phone:** (757) 644-9847

## Contact information

- **Practice address:** 5301 PROVIDENCE RD STE 50, VIRGINIA BEACH, VA 23464-4128
- **Practice address phone:** (757) 799-0837
- **Mailing address:** 5301 PROVIDENCE RD STE 50, VIRGINIA BEACH, VA 23464-4128
- **Mailing address phone:** (757) 799-0837
- **Mailing address fax:** (949) 883-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 06/02/2026