SAGE TEASLEY (NPI# 1407473465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407473465 |
Entity Type | Individual |
Full Name | SAGE TEASLEY |
Credential | EMT |
Practice Address |
11212 Hunting Horse Dr Fairfax Station VA 22039-2017 |
Practice Telephone | 7033475682 |
Mailing Telephone | 7033475682 |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | LA19-1016 | LA | Emergency Medical Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
Kayenta Health Center, Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 9286974000 |
Street Address |
11212 HUNTING HORSE DR |
City | FAIRFAX STATION |
State | VA |
Zip Code | 22039-2017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114317468 | Trinh Tran | Pharmacist | 9061 Emma Ann Way, Fairfax Station, VA 22039 | 2015-01-26 |
1629338975 | Stephen Paul Boglarski | Dentist | 8300 Tabor Lane, Fairfax Station, VA 22039 | 2012-05-21 |
1932202181 | Christopher Charles Virusky | Chiropractor | 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 | 2006-09-06 |
1366425415 | Margaret Montgomer Jones | Registered Nurse | 8133 Rondelay Ln, Fairfax Station, VA 22039 | 2005-11-22 |
1831647239 | Fairfax Internal Medicine and Primary Care PC | Clinic/Center | 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 | 2016-09-14 |
1750535274 | Catherine M. Janus | Physical Therapist | 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 | 2008-11-11 |
1790810547 | Ignaz P Jarbadan Md PC | Internal Medicine | 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 | 2007-02-22 |
1548549413 | Roy D. Novick | Dentist | 5616g Ox Rd, Fairfax Station, VA 22039-1018 | 2011-08-10 |
1043510639 | Jessica May Cantu-lane | Physical Therapy Assistant | 5618h Ox Rd, Fairfax Station, VA 22039-1018 | 2010-10-28 |
1396937553 | Larmour Chiropractic, Inc. | Chiropractor | 5616f Ox Rd, Fairfax Station, VA 22039-1018 | 2007-08-13 |
Find all providers in zip 22039 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417596370 | Misty Lynne Gersley | Emergency Medical Technician, Basic | 701 Independence Cir Ste 201, Virginia Beach, VA 23455-6439 | 2019-12-24 |
1649813007 | Gregory M Arnold | Emergency Medical Technician, Basic | 8206 Tyndale Rd, Richmond, VA 23227-1639 | 2019-10-17 |
1124517636 | Hiba Tur Rafiq | Emergency Medical Technician, Basic | 117 Austin Dr, Stafford, VA 22556-1332 | 2018-05-09 |
1669973913 | Elizabeth Keesler | Emergency Medical Technician, Basic | 775 Gateway Dr Se, Apt. 516, Leesburg, VA 20175-4045 | 2018-02-22 |
1518492990 | April Everton | Emergency Medical Technician, Basic | 203 Sir John Way, Seaford, VA 23696-2474 | 2017-04-24 |
1184157109 | Dessalegn Techane Assefa I | Emergency Medical Technician, Basic | 5719 Barnwood Dr, North Chesterfield, VA 23234-7711 | 2017-04-06 |
1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
1942687702 | Peter Griffin | Emergency Medical Technician, Basic | 1501 Patterson Ave Sw, Apt 6, Roanoke, VA 24016-3258 | 2015-04-30 |
1851731228 | Michaelena Jo Oberschlake | Emergency Medical Technician, Basic | 1019 Ann St, Apt D3, Portsmouth, VA 23704-2262 | 2013-07-01 |
1811233455 | Virginia Stephanie Perry | Emergency Medical Technician, Basic | 163 Aden Dr, Strasburg, VA 22657-5276 | 2013-01-01 |
Find all providers with the same taxonomy |
City | FAIRFAX STATION |
Zip Code | 22039 |
Please comment or provide details below to improve the information on SAGE TEASLEY.
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.