SHARESE DELOIS JEFFERSON


Address: 3640 High St Ste 3b, Portsmouth, VA 23707-3213
Phone: 7573976344

SHARESE DELOIS JEFFERSON (NPI# 1447747159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447747159
Entity Type Individual
Full Name SHARESE DELOIS JEFFERSON
Practice Address 3640 High St Ste 3b
Portsmouth
VA 23707-3213
Mailing Address 3640 High St
Ste 3b
Portsmouth
VA 23707-3213
Practice Telephone 7573976344
Mailing Telephone 7034780054
Enumeration Date 2018-04-18
Last Update Date 2018-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3640 HIGH ST STE 3B
City PORTSMOUTH
State VA
Zip Code 23707-3213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023096559 Margaret A Baumgarten Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2006-01-05
1134737018 Vivian Huong Thien Vu Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2020-07-16
1376162016 Elizabeth J Willoughby Student in an Organized Health Care Education/Training Program 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2020-04-13
1023645124 Jaime Luis Loyola IIi Student in an Organized Health Care Education/Training Program 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2020-03-26
1942762539 Christian Markham Student in an Organized Health Care Education/Training Program 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2019-04-02
1265895544 Karo Gary Ohanian Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2016-04-03
1952720690 Pamela Cruz Scott Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2014-04-09
1831360122 Jeffrey Graham Kail Social Worker 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2008-03-14
1407910433 Brian R. Budenholzer Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2006-12-21
1275601890 Stephen C. Brawley Family Medicine 3640 High St Ste 3b, Portsmouth, VA 23707-3213 2006-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407470305 Nisha Vanmali Student in an Organized Health Care Education/Training Program 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 2020-06-05
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1528687456 Raji Shaher Student in an Organized Health Care Education/Training Program Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 2020-04-10
1376176461 Joshua L Cartwright Student in an Organized Health Care Education/Training Program 303 Deal Dr, Portsmouth, VA 23701-1307 2020-02-17
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1235796459 Cloria Robertson Student in an Organized Health Care Education/Training Program 3604 Tejo Ln Apt 2b, Portsmouth, VA 23703-3032 2019-05-22
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1760943195 Jessica Albers Student in an Organized Health Care Education/Training Program 3 Paddle Ct, Portsmouth, VA 23703-5361 2019-03-28
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23707

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Dataset Information

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.

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