MRS. SYRAH ELIZABETH NICAISSE (NPI# 1245530641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245530641 |
| Entity Type | Individual |
| Full Name | MRS. SYRAH ELIZABETH NICAISSE |
| Credential | CNM |
| Practice Address |
77 Nealy Avenue 633d Medical Group Langley Afb VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | CNM0235 | VA | Other Service Providers |
| Street Address |
77 NEALY AVENUE 633D MEDICAL GROUP |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861724510 | Allen G Gunn | Dentist | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2010-02-05 |
| 1396989174 | Sherrill L Price | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1295979078 | Surinia Stocks Williams | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1114161080 | Bryan George Paul | Military Health Care Provider | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-04-23 |
| 1427205483 | Deandra Michele Price | Dentist | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2040 | 2008-08-21 |
| 1700064466 | Anthony Inae | Family Medicine | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2023 | 2008-02-05 |
| 1568645315 | Leigh Gossick Johnson | Student in an Organized Health Care Education/Training Program | 77 Nealy Avenue, 1st Medical Group, Langley Afb, VA 23665-2033 | 2007-12-14 |
| 1881873693 | Kristopher Carson Rusinko | Pharmacist | 77 Nealy Avenue, 633d Medical Group, Langley Afb, VA 23665-2040 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269049 | Pineapple Babies Birth Services, LLC | Midwife | 2908 Ryan Ct, Virginia Beach, VA 23456-7231 | 2020-09-10 |
| 1801404108 | Chelsea Shira | Midwife | 1109 Chesslawn Cir E, Chesapeake, VA 23320-4705 | 2020-07-22 |
| 1740805944 | Tammara Elena Usedo | Midwife | 28003 Eleys Ford Rd, Richardsville, VA 22736-1740 | 2020-06-12 |
| 1568095206 | Jennifer Teresa Michelle Davidson | Midwife | 37203 Snickersville Tpke, Purcellville, VA 20132-4920 | 2020-02-21 |
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1558918326 | Amanda Elizabeth Bunn | Midwife | 3745 Southway Dr Sw Apt 25, Roanoke, VA 24014-2264 | 2019-08-26 |
| 1376198903 | Erin Jeanne Murphy | Midwife | 117 S Lewis St Ste 226, Staunton, VA 24401-4282 | 2019-08-09 |
| 1760043509 | Samantha Lynn Sewell | Midwife | 5663 Ravenel Ln, Springfield, VA 22151-2427 | 2019-06-24 |
| 1942775283 | Savannah Fassero | Midwife | 707 Greenhouse Rd, Rustburg, VA 24588-2458 | 2018-10-12 |
| 1548743065 | River City Midwifery LLC | Midwife | 6219 Lakeside Ave, Richmond, VA 23228-5238 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.