HAMPTON VA MEDICAL CENTER (NPI# 1205177466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205177466 |
| Entity Type | Organization |
| Organization Name | HAMPTON VA MEDICAL CENTER |
| Practice Address |
100 Emancipation Dr Hampton VA 23667-0001 |
| Mailing Address |
100 Emancipation Dr Building #71 Hampton VA 23667-0001 |
| Practice Telephone | 7577229961 |
| Mailing Telephone | 7577229961 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | MS. DEBRA CHRISTIAN-GRANDY (SOCIAL WORKER) |
| Authorized Official Telephone | 7577229961 |
| Authorized Official Credential | LMSW, CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | LSW0000007815 | TN | Hospitals |
| Street Address |
100 EMANCIPATION DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23667-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518916 | Therese P Montoya | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667 | 2005-06-16 |
| 1285241570 | Larry N. Wootten | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-09-30 |
| 1487266631 | Jason Jemale Hall | Counselor | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-08-19 |
| 1790395085 | Caitlyn Moody | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-08-03 |
| 1639788268 | Shan S. Wong | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-07-29 |
| 1205454352 | Charity Seitz | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-07-06 |
| 1629694617 | Michael William Olsavicky | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-25 |
| 1659997914 | John David Kauffman | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-23 |
| 1790301406 | Lineisha Williams | Social Worker | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-18 |
| 1215557335 | Katy Hughes Fedorko | Physician Assistant | 100 Emancipation Dr, Hampton, VA 23667-2906 | 2020-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124447388 | Brian Pho Bui | Psychiatry & Neurology | Hampton Veterans Affairs 100 Emancipation Dr, Hampton, VA 23667 | 2014-04-15 |
| 1275786741 | Melissa Ann Palka | Nurse Practitioner | Hampton Va Medical Center, 100 Emancipation Dr., Hampton, VA 23667 | 2008-10-28 |
| 1639107741 | Lawrence Monroe Brown Jr. | Social Worker | Hampton Vamc, 100 Emancipation Dr, Hampton, VA 23667 | 2006-06-29 |
| 1578528030 | Harold Steven Smuckler | Family Medicine | Department of Veterans Affairs, Primary Care, 100 Emancipation Lane, Hampton, VA 23667 | 2006-04-19 |
| 1013978451 | Donald Epstein | Psychologist | 1000 Emancipation Drive, Hampton, VA 23667 | 2006-03-28 |
| 1225098593 | Maryanne Schaeffer | Dietitian, Registered | 100 Emancipation Drive, Hampton, VA 23667 | 2006-03-23 |
| 1376074773 | Linda Carol Whitfield | Case Manager/Care Coordinator | 100 Emancipation Drive, Hampton, VA 23667 | 2017-03-27 |
| 1316217516 | Wallace Danny Johnson IIi | Occupational Therapist | 100 Emancipation Drive, Hampton, VA 23667 | 2012-01-04 |
| 1386929164 | Amber Mizuki | Dietitian, Registered | 100 Emancipation Drive, Bldg 116, Hampton, VA 23667 | 2011-10-12 |
| 1447549266 | Irene Nanghui Yi | Pharmacist | 100 Emancipation Dr., Hampton Vamc, Hampton, VA 23667 | 2011-04-01 |
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| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710228929 | Veterans Affiars Medical Center | Military Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2013-03-13 |
| 1578850285 | Veterans Affairs Medical Center | Military Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1619325727 | Dfas-cl/jflp | Military Hospital | 626 John Paul Jones Cir, Mental Health Training, Portsmouth, VA 23708-5000 | 2016-05-31 |
| 1184086779 | U.S.navy | Military Hospital | 470 Middle St, Apt 220, Portsmouth, VA 23704-2813 | 2016-03-23 |
| 1669746822 | Naval Medical Center Portsmouth | Military Hospital | 620 John Paul Circle, Portsmouth, VA 23708 | 2012-03-05 |
| 1013281724 | Nmcp | Military Hospital | 2545 Belmont Stakes Dr, Virginia Beach, VA 23456-8130 | 2012-02-27 |
| 1013219591 | Naval Special Warfare Group Three Det Little Creek | Military Hospital | 1840 Intercove Rd, Norfolk, VA 23521 | 2010-12-03 |
| 1942450721 | Veterans Administration | Military Hospital | 105 W Maryland Ave, Crewe, VA 23930-1809 | 2008-09-29 |
| 1407012610 | Navy | Military Hospital | 4311 Windsor Lake Dr, Louisa, VA 23093-2135 | 2008-08-07 |
| 1194983379 | Department of Veterans Affairs Medical Center | Military Hospital | 520 Chanticlar Ct, Newport News, VA 23608-1670 | 2008-05-25 |
| 1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
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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.