Healthcare Provider Details

I. General information

NPI: 1124997986
Provider Name (Legal Business Name): ZEITGEIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3968 PORT RD
CHESAPEAKE VA
23321-3431
US

IV. Provider business mailing address

3968 PORT RD
CHESAPEAKE VA
23321-3431
US

V. Phone/Fax

Practice location:
  • Phone: 757-793-2999
  • Fax:
Mailing address:
  • Phone: 757-793-2999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELYN PAYNE
Title or Position: OWNER - CEO
Credential: EDD
Phone: 757-793-2999