MRS. GWENDOLYN MACON KEETON (NPI# 1154964484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154964484 |
| Entity Type | Individual |
| Full Name | MRS. GWENDOLYN MACON KEETON |
| Practice Address |
247 Carlstone Ct Highland Springs VA 23075 |
| Practice Telephone | 8047374687 |
| Mailing Telephone | 8047374687 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
247 CARLSTONE CT |
| City | HIGHLAND SPRINGS |
| State | VA |
| Zip Code | 23075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477917078 | Atouchofcare | Case Management | 304 Confederate Run Ct, Henrico, VA 23075-1100 | 2016-04-09 |
| 1831615228 | Rickey Williams | Driver | 113 Beauregard Ave, Henrico, VA 23075-1113 | 2017-08-17 |
| 1013565365 | Andrew Gregory Maples II | Non-emergency Medical Transport (VAN) | 118 Lee Ave, Highland Springs, VA 23075-1118 | 2019-08-29 |
| 1699076034 | Arch Support Residential Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 118 Longstreet Ave, Highland Springs, VA 23075-1141 | 2010-11-16 |
| 1790852770 | Shaman Meshal Al Anezi | Dentist | 1001 W Nine Mile Rd, Suit A, Highland Springs, VA 23075-1146 | 2006-11-29 |
| 1659822310 | R.t. Carter II Dds PC | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2016-10-18 |
| 1023175726 | Roy Thomas Carter II | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2007-01-02 |
| 1841356268 | Philip James Baum | Dentist | 1001 W Nine Mile Rd, Highland Springs, VA 23075-1146 | 2006-12-29 |
| 1063905008 | Temax Logistics LLC | Driver | 417 S Holly Ave, Highland Springs, VA 23075-1213 | 2018-06-13 |
| 1972086569 | Mckenzie Childs | Speech-Language Pathologist | 600 Pleasant St, Highland Springs, VA 23075-1221 | 2018-09-11 |
| Find all providers in zip 23075 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868540 | Charly Strickland | Technician | 305 Wakefield Dr, Locust Grove, VA 22508-5135 | 2020-10-12 |
| 1174120315 | Martha Coffield | Technician | 2400 Sarah Spence, Williamsburg, VA 23185-8060 | 2020-10-01 |
| 1700493822 | Albert Herdeg | Technician | 319 Wood Duck Ct, Suffolk, VA 23434-8096 | 2020-09-24 |
| 1639784952 | Denise Quarantello | Technician | 4927 Fenton Mill Rd, Williamsburg, VA 23188-6923 | 2020-09-14 |
| 1508471426 | Tyrric Mason | Technician | 633 W Washington St, Petersburg, VA 23803-4132 | 2020-09-09 |
| 1407469653 | Gwenolyn Murphy | Technician | 25460 Meherrin Rd, Capron, VA 23829-2050 | 2020-08-27 |
| 1386253730 | Natosha Hurt | Technician | 27728 Prince Edward Hwy, Rice, VA 23966-2702 | 2020-07-30 |
| 1336757772 | Jaye Hughes | Technician | 5116 Hunters Meadow Pl, Henrico, VA 23231-7668 | 2020-07-22 |
| 1477161107 | Susie Shell | Technician | 154 Baltic Dr, Weber City, VA 24290-7324 | 2020-07-20 |
| 1245857838 | Latifat Adegite | Technician | 10805 Three Chopt Rd, Henrico, VA 23233-2019 | 2020-06-29 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND SPRINGS |
| Zip Code | 23075 |
Please comment or provide details below to improve the information on MRS. GWENDOLYN MACON KEETON.
| 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.