JENNIFER L FELLMAN (NPI# 1316982457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316982457 |
| Entity Type | Individual |
| Full Name | JENNIFER L FELLMAN |
| Other Name | JENNIFER L FETTERLY |
| Credential | FNP-C |
| Practice Address |
150 Burnetts Way Suite 200 Suffolk VA 23434-8168 |
| Practice Telephone | 7575397824 |
| Practice Fax Number | 7575389474 |
| Mailing Telephone | 7575397824 |
| Mailing Fax Number | 7575389474 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166865 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1316982457 | 05 |
| Street Address |
150 BURNETTS WAY SUITE 200 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064755 | Alexander K Su | Specialist | 150 Burnetts Way, Suite 310, Suffolk, VA 23434-8177 | 2005-06-22 |
| 1679982177 | Donnamarie Mandara | Nurse Practitioner | 150 Burnetts Way, St 200, Suffolk, VA 23434-8168 | 2014-08-08 |
| 1215356464 | Lacey Dooley Lyle | Nurse Practitioner | 150 Burnetts Way, Suite 320, Suffolk, VA 23434-8168 | 2014-04-15 |
| 1194004093 | Commonwealth Vascular Institute | Surgery | 150 Burnetts Way, Suite 200, Suffolk, VA 23434-8168 | 2011-08-09 |
| 1972838498 | Neurology Associates of Suffolk, Pllc | Internal Medicine | 150 Burnetts Way, Suite 320, Suffolk, VA 23434-8168 | 2009-10-16 |
| 1437162815 | Bryan Alan Fox | Orthopaedic Surgery | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | 2006-08-15 |
| 1326061136 | Charles Steven Coleman | Psychiatry & Neurology | 150 Burnetts Way, Suite 320, Suffolk, VA 23434-8168 | 2006-07-25 |
| 1760404917 | Thomas G. Bergfield | Orthopaedic Surgery | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | 2006-07-24 |
| 1013937564 | Rajiv B Nanavaty | Psychiatry & Neurology | 150 Burnetts Way, Suite 320, Suffolk, VA 23434-8168 | 2006-07-20 |
| 1043235989 | Aksel Keklik | Physician Assistant | 150 Burnetts Way, Ste. 100, Suffolk, VA 23434-8168 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512799 | Jessica Eve Taylor | Nurse Practitioner | 1013 University Blvd Ste 270, Suffolk, VA 23435-3900 | 2020-09-09 |
| 1205465986 | Deja Davis | Nurse Practitioner | 150 Burnetts Way Ste 320, Suffolk, VA 23434-8288 | 2020-04-05 |
| 1245883693 | Taylor Brockman | Nurse Practitioner | 148 Burnetts Way Ste 107, Suffolk, VA 23434-6149 | 2019-07-24 |
| 1831660554 | April Jones | Nurse Practitioner | 273 Jonathans Way, Suffolk, VA 23434-9171 | 2018-12-06 |
| 1073092599 | Michelle Melton | Nurse Practitioner | 2790 Godwin Blvd Ste 205, Suffolk, VA 23434-8154 | 2018-08-07 |
| 1356851851 | Tiffany Darden | Nurse Practitioner | 2204 Arizona Ave, Suffolk, VA 23434-2704 | 2017-10-10 |
| 1699215475 | April Hartless | Nurse Practitioner | 1005 Commercial Ln Ste 220, Suffolk, VA 23434-8149 | 2017-02-28 |
| 1376082362 | Ashley Witt Rice | Nurse Practitioner | 100 Cherry Grove Rd N, Suffolk, VA 23432 | 2017-02-23 |
| 1518418961 | Emily Massaro | Nurse Practitioner | 5839 Harbour View Blvd Ste 201, Suffolk, VA 23435-3797 | 2016-10-20 |
| 1336525823 | Np Xpress Housecall Medical Practice | Nurse Practitioner | 3109 Melrose Ct, Suffolk, VA 23434-7279 | 2015-08-06 |
| Find all providers in SUFFOLK | ||||
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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.