JASON L TRICKER


Address: 12200 Warwick Blvd, Suite 410, Newport News, VA 23601-2344
Phone: 7575345200

JASON L TRICKER (NPI# 1154458412) 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) 1154458412
Entity Type Individual
Full Name JASON L TRICKER
Credential ACNP-BC
Practice Address 12200 Warwick Blvd
Suite 410
Newport News
VA 23601-2344
Mailing Address 856 J Clyde Morris Blvd
Suite A
Newport News
VA 23601-1318
Practice Telephone 7575345200
Practice Fax Number 7575345830
Mailing Telephone 7575944006
Mailing Fax Number 7575345190
Enumeration Date 2007-02-27
Last Update Date 2014-01-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024171234 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12200 WARWICK BLVD
SUITE 410
City NEWPORT NEWS
State VA
Zip Code 23601-2344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982601993 Eric A Weiner Internal Medicine 12200 Warwick Blvd, Ste 290, Newport News, VA 23601-2548 2005-07-05
1477078541 Nicole Cara Otten Physician Assistant 12200 Warwick Blvd, Newport News, VA 23601-2344 2017-08-09
1154860484 Sandy N Bacallao Nurse Practitioner 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 2017-02-20
1669915716 Alana Hutchens Physician Assistant 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 2016-11-22
1255881470 Juliane Davis-lowther Nurse Practitioner 12200 Warwick Blvd, Suite 290, Newport News, VA 23601-2344 2016-10-12
1386193100 Crystal Fesperman Physician Assistant 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 2016-09-22
1194125120 Jordan Richard Pothast Physician Assistant 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 2014-08-27
1558781807 Brian Andrew Holloway Dermatology 12200 Warwick Blvd, Suite 490a, Newport News, VA 23601-2344 2014-04-24
1346660982 Amy Schendel Orthopaedic Surgery 12200 Warwick Blvd, Suite 480, Newport News, VA 23601-2344 2014-04-22
1881027209 Riverside Physcian Services Inc Internal Medicine 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 2013-08-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740809235 Joshua Alan Albert Student in an Organized Health Care Education/Training Program Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 2020-04-14
1053959957 Sisters In Homecare LLC Home Health 716 J Clyde Morris Blvd, Newport News, VA 23601 2019-12-11
1811450638 Kevin Lavender Student in an Organized Health Care Education/Training Program Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 2019-04-09
1578025532 Cortlandt Mercy Sellers Student in an Organized Health Care Education/Training Program Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 2019-04-01
1407352974 Stephen Leinfelder Student in an Organized Health Care Education/Training Program 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 2018-04-03
1104359132 Nicholas Alexander Austin Student in an Organized Health Care Education/Training Program 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 2017-04-06
1609312883 Bright Nii Lante Lamptey Pharmacist 600 J Clyde and Morris Blvd, Newport News, VA 23601 2017-01-12
1417490517 Justin Chamblee Pharmacist 671 J. Clyde Morris Blvd, Newport News, VA 23601 2016-11-22
1447706080 Megan Elizabeth Cobb Physician Assistant 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 2016-09-01
1669815957 Christina Michelle Wray Mcmillan Nurse Practitioner 416 J. Clyde Morris Blvd., Newport News, VA 23601 2013-04-17
Find all providers in zip 23601

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558980771 Michelle Renee Dipasquale Nurse Practitioner 101 Philip Roth St, Newport News, VA 23606-1393 2020-04-09
1962985309 Jatifha Cedeya Harris Nurse Practitioner 12200 Warwick Blvd Ste 410, Newport News, VA 23601-2548 2018-09-12
1598269599 Trina S Williams Nurse Practitioner 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 2018-03-23
1174061030 Kathryn E Edman Nurse Practitioner 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 2017-02-10
1699227603 Kathleen U Mendoza Nurse Practitioner 101 Philip Roth St Ste 5a, Riverside Gastroenterology Specialists, Newport News, VA 23606-1393 2016-10-26
1710387774 Tara L Worley Nurse Practitioner 11803 Jefferson Ave, Suite 110, Newport News, VA 23606-2565 2014-08-27
1215343470 Ellyn Reynell Amato Nurse Practitioner 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 2014-07-09
1164840765 Paula Elizabeth Soergel Nurse Practitioner 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 2014-04-01
1770920530 Jennifer Engelhorn Nurse Practitioner 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 2013-06-03
1407012859 Atoosa Deyanat Purveyor Nurse Practitioner 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 2008-08-05
Find all providers in NEWPORT NEWS

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City NEWPORT NEWS
Zip Code 23601

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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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