MRS. JACQUELINE LARAWAY (NPI# 1093749343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093749343 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE LARAWAY |
| Credential | ACNP-BC |
| Practice Address |
245 Medical Park Dr First Floor Marion VA 24354-1100 |
| Practice Telephone | 2763781341 |
| Practice Fax Number | 2763781205 |
| Mailing Telephone | 2763781341 |
| Mailing Fax Number | 2763781205 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
13443 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024167734 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | P00681428 | 01 |
| TN | 1507124 | 05 | |
| VA | 1093749343 | 05 | |
| VA | RR MEDICARE | DF7910 | 01 |
| Street Address |
245 MEDICAL PARK DR FIRST FLOOR |
| City | MARION |
| State | VA |
| Zip Code | 24354-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2005-06-22 |
| 1447895420 | Emily Grace Jones | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2019-11-13 |
| 1639649296 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354 | 2018-11-27 |
| 1164966909 | Blue Ridge Medical Management Corporation | Internal Medicine | 245 Medical Park Dr, Suite E, Marion, VA 24354-1100 | 2016-12-13 |
| 1093168726 | Heather Danielle Greear | Nurse Practitioner | 245 Medical Park Dr, Marion, VA 24354-1100 | 2016-07-18 |
| 1598141970 | Blue Ridge Medical Management | Internal Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-08-07 |
| 1285016311 | Stanley Brandon Grover | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-06-25 |
| 1194104687 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-05-29 |
| 1194104976 | Sherry W. Love | Registered Nurse | 245 Medical Park Dr, Suite C, Marion, VA 24354 | 2015-05-26 |
| 1013302900 | Joseph Michael Martin | Emergency Medicine | 245 Medical Park Dr, Marion, VA 24354-1100 | 2015-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083175848 | Lisa Renee Bridges | Nurse Practitioner | 423 Magnolia St, Marion, AR 72364-2811 | 2019-03-26 |
| 1841383585 | Kandace Shoults | Nurse Practitioner | 1768 S Washington St, Marion, AL 36756-3406 | 2006-10-02 |
| 1750857264 | Shelby Meyer | Nurse Practitioner | 3701 Katz Dr, Marion, IA 52302-3871 | 2018-10-23 |
| 1851837579 | Charity Will | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2017-01-19 |
| 1982736757 | Jaynette D Miller | Nurse Practitioner | 535 S Freeborn St, Marion, KS 66861-1256 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1245857143 | James Daniels | Nurse Practitioner | 268 Foster Rd, Danville, VA 24541-7568 | 2020-06-26 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1487270450 | Courtney Bailey Jones | Nurse Practitioner | 1708 Lee Dr, Farmville, VA 23901-2399 | 2020-06-24 |
| 1902421555 | Christy Marie Clark | Nurse Practitioner | 516 Vance Hill Rd, Danville, VA 24540-6406 | 2020-06-10 |
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1255962890 | Trisha Marie Kasap | Nurse Practitioner | 13909 Preacher Chapman Pl, Centreville, VA 20121-3531 | 2020-02-02 |
| 1023648086 | Sherrica Minor | Nurse Practitioner | 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
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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.