MARY OTEY (NPI# 1043861347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043861347 |
Entity Type | Individual |
Full Name | MARY OTEY |
Practice Address |
1970 Roanoke Blvd Salem VA 24153-6478 |
Practice Telephone | 5409822463 |
Mailing Telephone | 5409822463 |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-09-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
1970 ROANOKE BLVD |
City | SALEM |
State | VA |
Zip Code | 24153-6478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518960301 | Paul Shearer | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2005-05-24 |
1821697301 | Tammy C'w Yu | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-10-26 |
1649886599 | Rebecca Elizabeth Stevenson | Psychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-09-16 |
1013529098 | Salihah Ali | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-08-20 |
1043838303 | Jasper Jade Dikit Raguindin | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
1568080976 | Morgan Cook | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
1508484528 | Lisa M Harrison | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
1417575432 | Hannah Wilkoff | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
1952928764 | Stephanie Nicole May | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-06-26 |
1396369336 | Callie Mashburn | Optometrist | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2020-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
Find all providers in zip 24153 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720615115 | Darcy Sue Ducheneaux | Technician | 131 W Drake Ave, Salem, SD 57058-8980 | 2020-03-25 |
1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
1104469758 | Deonne Grimmer | Technician | 2308 Rogers Ln Nw, Salem, OR 97304-1007 | 2019-10-25 |
1356992663 | Dorothy Adkins | Technician | 383 Lee Road 334, Salem, AL 36874-3713 | 2019-09-27 |
1093366700 | Susan Luella Crockett | Technician | 803 Craig Ave, Salem, VA 24153-2839 | 2019-09-24 |
1902455280 | Casey E Thomas | Technician | 4745 Horseshoe Ct Se, Salem, OR 97317-5539 | 2019-09-09 |
1407498074 | Jacob Benjamin Johnston | Technician | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2019-10-15 |
1225689045 | Sarah F Thomas | Technician | 4745 Horseshoe Ct Se, Salem, OR 97317-5539 | 2019-09-23 |
1952951279 | Vera Walker Sparrow | Technician | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2019-09-18 |
1235789686 | Arlene Joan Ingram | Technician | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2019-09-18 |
Find all providers in SALEM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.