JESSICA TRACY ARCHINAL (NPI# 1366940926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940926 |
| Entity Type | Individual |
| Full Name | JESSICA TRACY ARCHINAL |
| Credential | MA, CAS |
| Practice Address |
387 Church Street Mathews VA 23109 |
| Mailing Address |
362 Garden Creek Rd Mathews VA 23109-2088 |
| Practice Telephone | 8047253499 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000762 | VA | Behavioral Health & Social Service Providers |
| Street Address |
387 CHURCH STREET |
| City | MATHEWS |
| State | VA |
| Zip Code | 23109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124500160 | Lynette R Glockner, Inc. | Pharmacy | 10858 Buckley Hall Road, Mathews, VA 23109 | 2018-09-06 |
| 1114375904 | Emily May | Occupational Therapy Assistant | 1030 Pine Hall Road, Mathews County, VA 23109 | 2016-06-02 |
| 1265774012 | Ingrid Elizabeth Fincher | Nurse Practitioner | 10976 Buckley Hall Rd, Mathews, VA 23109 | 2013-03-20 |
| 1902135130 | 5 Star Oriental Medicine | Clinic/Center | 28 Church Street, Mathews, VA 23109 | 2009-12-17 |
| 1861597692 | Brad E Skelding | Social Worker | 40 Court Street, Mathews, VA 23109 | 2006-09-14 |
| 1255448379 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 603 Main St., Mathews, VA 23109 | 2006-08-24 |
| 1205846870 | Mathews County Public Schools | Local Education Agency (LEA) | 63 Church Street, Mathews, VA 23109 | 2006-08-08 |
| 1295756096 | Riverside Physician Services Inc | Internal Medicine | 10976 Buckley Hall Road, Mathews, VA 23109 | 2006-07-21 |
| 1679548705 | Shannon D Burris | Nurse Practitioner | 28 Church St, Mathews, VA 23109 | 2006-02-22 |
| 1831677459 | Lynette Renae Glockner | Pharmacy | 10858 Buckley Hall Rd, Mathews, VA 23109 | 2018-08-06 |
| Find all providers in zip 23109 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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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.