JIMMY WAYNE SPELTS (NPI# 1104423946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104423946 |
Entity Type | Individual |
Full Name | JIMMY WAYNE SPELTS |
Credential | RN |
Practice Address |
29 Fairway Dr Portsmouth VA 23701-1655 |
Practice Telephone | 7574127840 |
Mailing Telephone | 7574127840 |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
0001162467 | VA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNKNOWN | UNKNOWN | 01 |
Street Address |
29 FAIRWAY DR |
City | PORTSMOUTH |
State | VA |
Zip Code | 23701-1655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
Find all providers in zip 23701 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902866411 | Robert Dean Fetherston | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1053830208 | Ebony Feliz | Registered Nurse | 1545 Crossways Blvd., Suite 250, Chesapeake, VA 23320 | 2017-09-19 |
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 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 23701 |
Please comment or provide details below to improve the information on JIMMY WAYNE SPELTS.
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.