MICHELLE JETER (NPI# 1174704506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174704506 |
| Entity Type | Individual |
| Full Name | MICHELLE JETER |
| Practice Address |
412 Libbie Ave Suite 4 Richmond VA 23226-2659 |
| Practice Telephone | 8042828082 |
| Practice Fax Number | 8042829082 |
| Mailing Telephone | 8042828082 |
| Mailing Fax Number | 8042829082 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
0024131354 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
412 LIBBIE AVE SUITE 4 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280652 | Bonita J Makdad | Pediatrics | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2006-03-27 |
| 1922275973 | Monica Martin Wright | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-09 |
| 1154597441 | Bonnylin Lindquist | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-06 |
| 1578743977 | Elizabeth Jackson | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1063692473 | Natalie Erger | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1134309669 | Beverly Mallon | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-13 |
| 1457531907 | Carol Flinn | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-13 |
| 1134309750 | Debra Owens | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-12 |
| 1780864389 | Joan Oberle | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-12 |
| 1326265257 | Lynn Harrington Johnson | Pediatrics | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1033220322 | Erin P Broush | Nurse Practitioner | 1213 E Clay St, Richmond, VA 23298-5071 | 2006-08-31 |
| 1689634925 | Donna Lynn Buchanan | Nurse Practitioner | 1506 Willow Lawn Dr, Suite 205, Richmond, VA 23230-3413 | 2006-03-23 |
| 1487153110 | Tangela Shaneen Monroe | Nurse Practitioner | 412 Libbie Ave Ste 4, Richmond, VA 23226-2658 | 2018-02-08 |
| 1699927061 | Leslie D Hill | Nurse Practitioner | 1506 Willow Lawn Dr, Suite 205, Richmond, VA 23230-3413 | 2008-10-16 |
| 1922275973 | Monica Martin Wright | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-09 |
| 1154597441 | Bonnylin Lindquist | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2008-05-06 |
| 1578743977 | Elizabeth Jackson | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1063692473 | Natalie Erger | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-14 |
| 1134309669 | Beverly Mallon | Nurse Practitioner | 412 Libbie Ave, Suite 4, Richmond, VA 23226-2659 | 2007-11-13 |
| Find all providers in RICHMOND | ||||
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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.