MR. WILLIAM CAREY ALTICE (NPI# 1144595364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144595364 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CAREY ALTICE |
| Practice Address |
1970 Roanoke Blvd Salem VA 24153-6404 |
| Mailing Address |
120 Butternut Ln Rocky Mount VA 24151-4145 |
| Practice Telephone | 5409822463 |
| Mailing Telephone | 5404831789 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | B052206701 | VA | Emergency Medical Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 0002083355 | VA | Nursing Service Providers |
| Street Address |
1970 ROANOKE BLVD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6404 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962361 | Sheri Adigun | Licensed Practical Nurse | 10 Briar Ave, Salem, NH 03079-2635 | 2018-05-17 |
| 1366940702 | Amelie Jane Noel | Licensed Practical Nurse | 4235 Wheat Ct Ne, Salem, OR 97305-2388 | 2018-01-31 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1295199271 | Margrett Anne Simpkins | Licensed Practical Nurse | 1853 13th St Se, Salem, OR 97302-2577 | 2016-04-06 |
| 1871988485 | Daphne Tadlock | Licensed Practical Nurse | 547 Knapp Pl Ne, Salem, OR 97301-2443 | 2015-03-31 |
| 1871919696 | Jennifer Marinelli | Licensed Practical Nurse | 11300 Youngstown Salem Rd, Salem, OH 44460-7610 | 2014-03-17 |
| 1174948293 | Terena Umberger | Licensed Practical Nurse | 14405 Pricetown Rd, Salem, OH 44460-9195 | 2014-02-26 |
| 1790108389 | Bonnie Rose Plessinger | Licensed Practical Nurse | 9729 Egypt Rd, Salem, OH 44460-9664 | 2014-02-02 |
| 1881937209 | Heather Lynn Tracy | Licensed Practical Nurse | 1137 Hampton Pl, Salem, OH 44460-1081 | 2013-04-03 |
| 1265781850 | Desirea Lynn Counts | Licensed Practical Nurse | Hc 62 Box 285, Salem, MO 65560-8807 | 2012-08-29 |
| 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.