ALICE ELIZABETH SYDNOR (NPI# 1225262678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225262678 |
| Entity Type | Individual |
| Full Name | ALICE ELIZABETH SYDNOR |
| Credential | PH.D. |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5405106200 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5405106200 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 34395 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
34395 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810003868 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1245624196 | Andrea Miller | Psychologist | 30 Franklin Rd Sw, Suite 602, Roanoke, VA 24011-2423 | 2015-03-27 |
| 1306104005 | Brian L Lewis | Psychologist | 1317 3rd St Sw, Roanoke, VA 24016-5238 | 2012-05-01 |
| 1831376755 | Laura Janet Ely | Psychologist | 1402 Grandin Rd Sw Ste 211, Roanoke, VA 24015-2348 | 2008-01-22 |
| 1598884702 | Wee Leung Lee | Psychologist | 5427 Peters Creek Rd, Suite 100, Roanoke, VA 24019-3858 | 2007-03-28 |
| 1861518037 | Donald Joseph Gieck | Psychologist | 2017 S Jefferson St, Roanoke, VA 24014 | 2007-03-21 |
| 1861570822 | Paul Joseph Woods | Psychologist | 5541 Florist Rd, Roanoke, VA 24012-1233 | 2006-11-01 |
| 1356440184 | Debra A. Marks | Psychologist | 221 Albemarle Ave Sw, Roanoke, VA 24016-4716 | 2006-09-21 |
| 1972513893 | Montenique Finney | Psychologist | 4800 Pleasant Hill Dr, Ste 202, Roanoke, VA 24018-3406 | 2006-08-09 |
| 1326090580 | Louis Anthony Perrott | Psychologist | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-05-16 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on ALICE ELIZABETH SYDNOR.
| 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.