JORDAN E LAREW (NPI# 1326692716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326692716 |
| Entity Type | Individual |
| Full Name | JORDAN E LAREW |
| Credential | NURSE PRACTITIONER |
| Practice Address |
78 Medical Center Dr Fishersville VA 22939-2332 |
| Mailing Address |
1507 Red Top Orchard Rd Waynesboro VA 22980-7458 |
| Practice Telephone | 5409325282 |
| Mailing Telephone | 5402064300 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177918 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06191745 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
78 MEDICAL CENTER DR |
| City | FISHERSVILLE |
| State | VA |
| Zip Code | 22939-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300170 | Mary Nash Long | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2005-07-19 |
| 1134755770 | Diane M Burns | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-03-16 |
| 1033742978 | Megan Anne Cather | Dietitian, Registered | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-02-19 |
| 1104469659 | Camille Evon Kaplan | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-10-28 |
| 1275195513 | Margaret Byler Spory | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-07-08 |
| 1629634860 | Rachel Binda Tyree | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-14 |
| 1376109744 | Matthew Frederick Rhodes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-05-11 |
| 1437618949 | Marion Elizabeth Simmons-selking | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2019-03-14 |
| 1417421884 | Karen Ann Hayes | Physician Assistant | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-01-18 |
| 1083183057 | Sarah Borchelt | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2018-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568956951 | Randy Groves | Physical Therapy Assistant | 84 Crossroads Lane, Fishersville, VA 22939 | 2018-06-19 |
| 1679081749 | Melissa Michelle Yniguez | Occupational Therapy Assistant | 83 Crossroad Lane, Fishersville, VA 22939 | 2018-01-11 |
| 1699126110 | Ashley Bigger | Physical Therapy Assistant | 83 Crossroad Ln, Fishersville, VA 22939 | 2016-06-27 |
| 1497146070 | Savola Aesthetic Dermatology Center Plc | Dermatology | 66 Parkway Lane, Suite 101, Fishersville, VA 22939 | 2015-02-18 |
| 1669813416 | Keith Harlow Wolford | Family Medicine | 1615 Jefferson Highway, Suite 108, Fishersville, VA 22939 | 2013-07-09 |
| 1588903041 | Ashanti Dawn Samuel | Student in an Organized Health Care Education/Training Program | 83 Crossroads Lane, Fishersville, VA 22939 | 2013-02-04 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1659699734 | Augusta Health Care, Inc | Internal Medicine | 221 Medical Center Circle, Fishersville, VA 22939 | 2010-05-13 |
| 1386979037 | Kyle J Becker | Pharmacist | 57 Beam Lane, Suite 300, Fishersville, VA 22939 | 2009-10-14 |
| 1275782526 | Augusta Medical Group | Family Medicine | 53 S Medical Park Drive, Fishersville, VA 22939 | 2008-09-11 |
| Find all providers in zip 22939 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114128196 | Meera S Kumar | Nurse Practitioner | 57 Beam Ln Ste 300, Fishersville, VA 22939-2350 | 2007-05-29 |
| 1952300170 | Mary Nash Long | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2005-07-19 |
| 1134755770 | Diane M Burns | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2020-03-16 |
| 1104469659 | Camille Evon Kaplan | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2019-10-28 |
| 1437618949 | Marion Elizabeth Simmons-selking | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939 | 2019-03-14 |
| 1588174163 | Abby D Dickenson | Nurse Practitioner | 57 N Medical Park Dr Ste 105, Fishersville, VA 22939 | 2017-10-09 |
| 1093247017 | Carrie Schlabach | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2017-03-29 |
| 1942743265 | Kate Humphreys Funk | Nurse Practitioner | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2016-11-19 |
| 1073066270 | Emily B Williams | Nurse Practitioner | 70 Medical Center Cir Ste 302, Fishersville, VA 22939-2273 | 2016-07-25 |
| 1073922811 | Tonia Lee Martin | Nurse Practitioner | 70 Medical Center Cir, Ste 213, Fishersville, VA 22939 | 2014-08-06 |
| Find all providers in FISHERSVILLE | ||||
| City | FISHERSVILLE |
| Zip Code | 22939 |
Please comment or provide details below to improve the information on JORDAN E LAREW.
| 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.