TEAM NURSE, INC. (NPI# 1376017756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376017756 |
| Entity Type | Organization |
| Organization Name | TEAM NURSE, INC. |
| Practice Address |
16610 Russell Street Suite 5 St Paul VA 24283 |
| Practice Telephone | 4345755200 |
| Practice Fax Number | 4345755054 |
| Mailing Telephone | 4345755200 |
| Mailing Fax Number | 4345755054 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-08-15 |
| Authorized Official Name | CHRISTY GLYNN (VP OF OPERATIONS) |
| Authorized Official Telephone | 4345755200 |
| Is Organization Subpart | Y |
| Parent Organization Name | TEAM NURSE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC2100X |
Registered Nurse Specialization: Continence Care |
Nursing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSURE OLC | 123456789 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902070774 | Team Nurse, Inc. | Registered Nurse | 1555 Commerce Rd, Suite C, Verona, VA 24482-9702 | 2008-04-14 |
| 1316133739 | Team Nurse, Inc. | Registered Nurse | 4007 S Amherst Hwy, Madison Heights, VA 24572-5947 | 2007-09-19 |
| 1255419164 | Team Nurse, Inc. | Registered Nurse | 1372 W Gretna Rd, Suite B, Gretna, VA 24557-2472 | 2006-11-01 |
| 1972688638 | Team Nurse, Inc. | Registered Nurse | 1087 Spruce St, Martinsville, VA 24112-4506 | 2006-10-25 |
| 1174608889 | Team Nurse, Inc. | Registered Nurse | 3352 Halifax Rd, South Boston, VA 24592-4842 | 2006-10-25 |
| 1568547289 | Team Nurse, Inc. | Registered Nurse | 412 E Atlantic St, South Hill, VA 23970-2702 | 2006-10-25 |
| 1669556387 | Team Nurse, Inc. | Registered Nurse | 22634 Timberlake Rd, Suite E, Lynchburg, VA 24502-7311 | 2006-10-25 |
| 1780769471 | Team Nurse, Inc. | Home Health | 4041 Melrose Ave Nw, Roanoke, VA 24017-2635 | 2006-10-25 |
| 1205910981 | Team Nurse, Inc. | Registered Nurse | 508 Piney Forest Rd, Danville, VA 24540-3320 | 2006-10-25 |
| 1760736573 | Team Nurse, Inc. | Registered Nurse | 795 E Main St, Wytheville, VA 24382-3301 | 2012-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Team Nurse, Inc. | , , |
| Virginia Business Entity | Team Nurse, Inc. | 606 BROAD STREET SUITE F PO BOX 776, SOUTH BOSTON, VA 24592 |
| Street Address |
16610 RUSSELL STREET SUITE 5 |
| City | ST PAUL |
| State | VA |
| Zip Code | 24283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215960323 | Hamilton Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 16610 Russell Street, St Paul, VA 24283 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649510611 | Julie Large | Pharmacist | 16435 Wise St., St. Paul, VA 24283 | 2013-02-27 |
| 1144510264 | Misty D Sword Ward | Pharmacist | 16435 Wise Street, St Paul, VA 24283 | 2011-04-11 |
| 1629379292 | Family Preservation Services, Inc. | Community/Behavioral Health | 3200 Deacon Drive, Saint Paul, VA 24283 | 2010-11-12 |
| 1477736684 | Candice M Bolling | Physician Assistant | 16431 Wise St, St Paul, VA 24283 | 2007-12-11 |
| 1710104260 | St Charles Health Council Inc | Clinic/Center | 1389 Dante Road, St Paul, VA 24283 | 2007-04-19 |
| 1780712513 | James A Gross | Pharmacist | 3103 Fletcher Dr, Saint Paul, VA 24283 | 2007-03-01 |
| 1891847489 | Crystal E Burke | Social Worker | Hwy 63 North, Clinic Street, St. Paul, VA 24283 | 2007-01-17 |
| 1497839716 | Beacon of Life Ambulance Service | Ambulance | 16559 Riverside Dr, St. Paul, VA 24283 | 2006-10-24 |
| 1477571743 | Taylor D Holliday | Family Medicine | 16431 Wise St., Saint Paul, VA 24283 | 2006-07-17 |
| 1114995487 | Ernie's Drug, Inc. | Pharmacist | 16408 Wise St, St. Paul, VA 24283 | 2006-03-10 |
| Find all providers in zip 24283 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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| 1508991654 | Metro Home Health Care Corporation | Technician | 1092 Rice Street Ste 2, St Paul, MN 55117 | 2007-02-22 |
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| 1184238701 | Carlton B Herrera | Technician | 3509 Ethel James Dr, Chesapeake, VA 23323-1249 | 2020-09-01 |
| 1750993994 | John Irving Collins | Technician | 180 Angles Hollow Rd, North Tazewell, VA 24630-8065 | 2020-08-19 |
| 1982216446 | Maria A Martinez Ferrufino | Technician | 5100 8th Rd S Apt 210, Arlington, VA 22204-2834 | 2020-08-17 |
| 1295346765 | Deahua Denise Lavender | Technician | 231 Chalmers Ct, Berryville, VA 22611-1358 | 2020-08-10 |
| 1255940680 | Angela Mizell | Technician | 618 Battery Ave, Suffolk, VA 23434-5914 | 2020-07-31 |
| 1801414198 | Jph Enterprise, LLC Dba Preferred Care At Home of Virginia Beach | Technician | 1520 Stonemoss Ct Ste 101, Virginia Beach, VA 23462-5731 | 2020-07-13 |
| 1487280004 | Tarikawe Ashenafi Daniel | Technician | 4600 Duke St Apt 1525, Alexandria, VA 22304-2513 | 2020-03-15 |
| 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.