ALLIANCE FAMILY PRACTICE, PC (NPI# 1457378804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457378804 |
| Entity Type | Organization |
| Organization Name | ALLIANCE FAMILY PRACTICE, PC |
| Practice Address |
3333 S Crater Rd Suite 3a Petersburg VA 23805-9276 |
| Practice Telephone | 8047333438 |
| Practice Fax Number | 8047337424 |
| Mailing Telephone | 8047333438 |
| Mailing Fax Number | 8047337424 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-08-08 |
| Authorized Official Name | MRS. ALFREDA BOOKER (BILLING MANAGER) |
| Authorized Official Telephone | 8043235575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024131004 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE ID | 0024131004 | 01 |
| Street Address |
3333 S CRATER RD SUITE 3A |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021720 | Total Homecare Corporation | Durable Medical Equipment & Medical Supplies | 3333 S Crater Rd, Ste 5, Petersburg, VA 23805 | 2005-05-27 |
| 1295200681 | Commonwealth Foot and Ankle, Inc. | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2018-10-11 |
| 1518135763 | Edward Boakye M.d.,p.c | Internal Medicine | 3333 S Crater Rd, Suite 3 C, Petersburg, VA 23805-9276 | 2008-02-11 |
| 1124140918 | Back Pain Inc | Family Medicine | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2007-04-04 |
| 1225157514 | Amedisys Home Health Inc of Virginia | Home Health | 3333 S Crater Rd, Suite 4-b, Petersburg, VA 23805-9276 | 2007-03-28 |
| 1376682153 | Dr Marc Jay Pinsky PC | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2007-02-06 |
| 1902910417 | Gilda H. Pegram | Registered Nurse | 3333 S Crater Rd, ., Petersburg, VA 23805-9276 | 2006-08-19 |
| 1699781393 | Alliance Family Health Care, PC | Family Medicine | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-08-01 |
| 1386698124 | Jeffrey Hall Pinsky | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2006-05-19 |
| 1174590186 | Marc Jay Pinsky | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013009570 | Eleanor K Berg | Nurse Practitioner | Route 28/55 Grant Memorial Drive, Grant Memorial Hospital, Petersburg, WV 26847 | 2006-09-29 |
| 1346332533 | Evelyn Hall-harris | Nurse Practitioner | 40 Liberty St, Petersburg, VA 23803-5021 | 2006-09-28 |
| 1861440422 | Dawn Marie Adams | Nurse Practitioner | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999668 | Sharon Annette Mclaurin | Nurse Practitioner | 23320 Rogerdale Pl, Sterling, VA 20166-2143 | 2020-10-14 |
| 1538775697 | First Choice Anderson Fnp LLC | Nurse Practitioner | 127 Rabey Farm Rd, Suffolk, VA 23435-2256 | 2020-09-23 |
| 1225653629 | Christine Fay Amorosi | Nurse Practitioner | 1200 S Huntress Ct, Mc Lean, VA 22102-2515 | 2020-06-11 |
| 1124642673 | Andrea Danielle Stanley | Nurse Practitioner | 4232 Stanley Ln, Salem, VA 24153-4027 | 2020-06-01 |
| 1669938825 | Mishii Strother Hamlor | Nurse Practitioner | 4801 Newbys Mill Ter, Chesterfield, VA 23832-7875 | 2019-02-13 |
| 1942773908 | Tammy Jean Davidson | Nurse Practitioner | 1077 Saint Clairs Creek Rd, Chilhowie, VA 24319-5893 | 2019-01-02 |
| 1891266847 | Sarantuya Sukhee-hungerford | Nurse Practitioner | 102 Elden St Ste 16, Herndon, VA 20170-4839 | 2018-12-16 |
| 1174092894 | Advanced Practice Services, LLC | Nurse Practitioner | 362 Pleasant Pl, Charlottesville, VA 22911-2212 | 2018-11-26 |
| 1912472713 | Elina Sergeyevna Reynolds | Nurse Practitioner | 221 Mount Pleasant Rd Unit A-1, Chesapeake, VA 23322-4155 | 2018-10-08 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on ALLIANCE FAMILY PRACTICE, PC.
| 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.