AMBER LYNN SOURBEER (NPI# 1336692524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336692524 |
| Entity Type | Individual |
| Full Name | AMBER LYNN SOURBEER |
| Other Name | AMBER LYNN ACHESINSKI |
| Credential | PA-C |
| Practice Address |
2075 Glenn Mitchell Dr Ste 400 Virginia Beach VA 23456-0179 |
| Practice Telephone | 7575078900 |
| Mailing Telephone | 7575078900 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110005448 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2075 GLENN MITCHELL DR STE 400 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639222797 | Melissa J Buchberg | Obstetrics & Gynecology | 2075 Glenn Mitchell Dr, Suite 410, Virginia Beach, VA 23456-0179 | 2007-01-19 |
| 1720530629 | Kelly Graham | Nurse Practitioner | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2016-10-26 |
| 1790166692 | Melody Lynne Osborne | Physician Assistant | 2075 Glenn Mitchell Dr, Suite 512, Virginia Beach, VA 23456-0179 | 2015-06-16 |
| 1316284979 | Sentara Medical Group | Surgery | 2075 Glenn Mitchell Dr, Ste 506, Virginia Beach, VA 23456-0179 | 2013-01-15 |
| 1104186428 | Sentara Medical Group | Internal Medicine | 2075 Glenn Mitchell Dr, Ste 400, Virginia Beach, VA 23456-0179 | 2012-05-21 |
| 1467720763 | Sentara Medical Group | Surgery | 2075 Glenn Mitchell Dr, Ste 512, Virginia Beach, VA 23456-0019 | 2011-12-01 |
| 1619251089 | Sentara Medical Group | Surgery | 2075 Glenn Mitchell Dr, Ste 512a, Virginia Beach, VA 23456-0019 | 2011-10-04 |
| 1366774192 | Susan Edmondson Phillips | Genetic Counselor, MS | 2075 Glenn Mitchell Dr, Suite 500, Virginia Beach, VA 23456-0179 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011609 | Alexis A M Higgins | Physician Assistant | 1168 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2444 | 2018-01-16 |
| 1720506207 | Brad Rivera | Physician Assistant | 1090 Farrar St, Virginia Beach, VA 23451-5808 | 2017-09-05 |
| 1386199016 | Zachary Kaplan | Physician Assistant | 2859 Virginia Beach Blvd Ste 100, Virginia Beach, VA 23452-7613 | 2016-08-23 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1407097215 | Steven Brian Bennett | Physician Assistant | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2009-03-09 |
| 1366682056 | Jessica Lea Simpkins | Physician Assistant | 4092 Foxwood Drive, Suite 101, Virginia Beach, VA 23462 | 2009-02-20 |
| 1578602017 | Mary Jo Dougherty | Physician Assistant | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2007-02-05 |
| 1689770323 | Catherine F Walgren | Physician Assistant | 4536 Bonney Rd, Virginia Beach, VA 23462-3818 | 2006-09-16 |
| 1164487393 | Mindy Ann Siyufy | Physician Assistant | 968 First Colonial Rd, Suite101, Virginia Beach, VA 23454-3171 | 2006-04-19 |
| 1912971201 | Richard Ryan Crooks | Physician Assistant | 5486 Indian River Rd, Virginia Beach, VA 23464-5365 | 2006-02-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on AMBER LYNN SOURBEER.
| 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.