MRS. GRACE A ODALLO (NPI# 1093324469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093324469 |
Entity Type | Individual |
Full Name | MRS. GRACE A ODALLO |
Practice Address |
3441 Raytee Dr Chesapeake VA 23323-1230 |
Practice Telephone | 7573721912 |
Mailing Telephone | 7573721912 |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024178802 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3441 RAYTEE DR |
City | CHESAPEAKE |
State | VA |
Zip Code | 23323-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417413444 | Tiwana Lynn Jordan | Driver | 2139 Chesterfield Loop, Chesapeake, VA 23323 | 2019-02-14 |
1578040051 | Utopia C&c LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1212 Excalibur Ct, Chesapeake, VA 23323 | 2018-07-26 |
1851755003 | Behavior Analytic Associates | Behavioral Analyst | 522 Atamasco St, Chesapeake, VA 23323 | 2016-04-13 |
1134297344 | D Machelle Kerr | Chiropractor | 164 S George Washington Hwy, Chesapeake, VA 23323 | 2006-12-04 |
1053403816 | Cathy L. Rearden | Dentist | 2346 Cedar Road, Chesapeake, VA 23323 | 2006-09-29 |
1306857909 | Jose Dabu Leoncio | Family Medicine | 1061 Ne Washington Hwy, Chesapeake, VA 23323 | 2006-08-10 |
1952370702 | George Washington Health & Rehab of Chesapeake, Inc | Skilled Nursing Facility | 1017 George Washington Hwy., Chesapeake, VA 23323 | 2006-03-15 |
1528040474 | Dr George E Berryman Dds | Dentist | 838 Old George Washington Hwy, Suite C, Chesapeake, VA 23323 | 2005-11-16 |
1891216933 | Black Top Town Car Service LLC | Non-emergency Medical Transport (VAN) | 410 Millhouse Ct, Chesapeake, VA 23323-0882 | 2017-06-29 |
1609048651 | Hope Offord-powell | Speech-Language Pathologist | 404 Undershot Ct, Chesapeake, VA 23323-0883 | 2008-03-31 |
Find all providers in zip 23323 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952963829 | Christina Lynn Amendolare | Nurse Practitioner | 1090 Harwich Dr, Chesapeake, VA 23322-9535 | 2019-07-01 |
1801396981 | Penny Lea Ramsey | Nurse Practitioner | 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 | 2018-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
1467070342 | Amanda K Whitley | Nurse Practitioner | 401 Gordon Ave, Bristol, VA 24201-4106 | 2020-07-08 |
1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
1962034066 | Meredith Cespedes Soriano | Nurse Practitioner | 42624 Freistadt Sq, Sterling, VA 20166-2610 | 2020-02-06 |
Find all providers with the same taxonomy |
City | CHESAPEAKE |
Zip Code | 23323 |
Please comment or provide details below to improve the information on MRS. GRACE A ODALLO.
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.