EBONY FELIZ


Address: 1545 Crossways Blvd., Suite 250, Chesapeake, VA 23320
Phone: (757) 777-3667

EBONY FELIZ (NPI# 1053830208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053830208
Entity Type Individual
Full Name EBONY FELIZ
Credential REGISTERED NURSE
Practice Address 1545 Crossways Blvd.
Suite 250
Chesapeake
VA 23320
Mailing Address 1545 Crossways Blvd Ste 250
Chesapeake
VA 23320-0218
Practice Telephone (757) 777-3667
Practice Fax Number 7575853418
Mailing Telephone 7577773667
Mailing Fax Number 7575853418
Enumeration Date 2017-09-19
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
0001271490 VA Nursing Service Providers
N 171M00000X Case Manager/Care Coordinator 0001271490 VA Other Service Providers

Office Location

Street Address 1545 CROSSWAYS BLVD.
SUITE 250
City CHESAPEAKE
State VA
Zip Code 23320

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1942764113 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1400 Kempsville Rd, Virginia Beach, VA 23320 2019-01-22
1639647993 Madison Vansavage Maben Orthotist 433 Network Sta, Chesapeake, VA 23320 2018-11-05
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1154803500 Latricia A Patterson Home Health 813-a Professional Pl Ste 107, Chesapeake, VA 23320 2018-09-02
1164909586 4k Tresses Durable Medical Equipment & Medical Supplies 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 2018-07-27
1831676105 Lance Taylor Technician 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 2018-07-19
1023507688 Sentoria Howell Harold Social Worker 920 Ventures Way Ste 4, Chesapeake, VA 23320 2018-05-08
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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1104423946 Jimmy Wayne Spelts Registered Nurse 29 Fairway Dr, Portsmouth, VA 23701-1655 2020-10-05
1437637303 Frankye T. Tarmiko Myers Registered Nurse 8819 First Branch Ln, Chesterfield, VA 23838-5605 2018-08-02
1205313129 Albertine Tubman Registered Nurse 778 Balls Bluff Rd Ne, Leesburg, VA 20176-4900 2018-07-24
1689163271 Horizon Healthcare Professionals, LLC Registered Nurse 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 2018-05-09
1518368802 Annette King-miles Registered Nurse 450 Rosemary Ln, Danville, VA 24541-4528 2014-09-05
1861825267 Leyish Minie Registered Nurse 9051 Tiffany Park Ct, Springfield, VA 22152-2160 2013-08-21
1932388501 Beverly Jean Bethea Registered Nurse 4272 Berkley Ct, King George, VA 22485-5648 2007-10-30
1811193931 Corliss Voncille Booker Registered Nurse 14101 Lyndhurst Dr, Chester, VA 23831-8804 2007-06-25
1730261413 Ynez Ann Coleman Registered Nurse 1607 Planters Rd, Lawrenceville, VA 23868-3350 2006-10-20
1740233618 Julia Ann Mckinnis Registered Nurse 1320 Piney Forest Rd, Danville, VA 24540-1606 2006-05-19
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Competitor

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City CHESAPEAKE
Zip Code 23320

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Dataset Information

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.

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