KRISTI VERGENA MIZELLE (NPI# 1457490955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457490955 |
| Entity Type | Individual |
| Full Name | KRISTI VERGENA MIZELLE |
| Credential | M.D. |
| Practice Address |
704 Thimble Shoals Blvd Bldg. 300 A Newport News VA 23606-4544 |
| Mailing Address |
860 Omni Blvd Suite 303 Newport News VA 23606-4430 |
| Practice Telephone | 7575954300 |
| Practice Fax Number | 7575919297 |
| Mailing Telephone | 7572328769 |
| Mailing Fax Number | 7572328875 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
D73504 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 051642200 | 05 |
| Street Address |
704 THIMBLE SHOALS BLVD BLDG. 300 A |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861038 | James C Tinsley | Family Medicine | 704 Thimble Shoals Blvd, Suite 3 700, Newport News, VA 23606-4544 | 2005-09-12 |
| 1477165553 | Sarah Breckinridge Wadhams | Nurse Practitioner | 704 Thimble Shoals Blvd, Newport News, VA 23606-4544 | 2020-08-19 |
| 1922554351 | Jenalee Nicole Shields | Physician Assistant | 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606-4544 | 2016-08-26 |
| 1811370869 | Philip Gurecki | Physician Assistant | 704 Thimble Shoals Blvd, Suite 700, Newport News, VA 23606-4544 | 2015-07-08 |
| 1568894830 | Sarah Jenkins | Physician Assistant | 704 Thimble Shoals Blvd, Suite #200, Newport News, VA 23606-4544 | 2013-08-08 |
| 1659696391 | James River Eye Physicians | Optometrist | 704 Thimble Shoals Blvd, Suite 100, Newport News, VA 23606-4544 | 2010-04-06 |
| 1760625404 | Nicole R. Cook | Physician Assistant | 704 Thimble Shoals Blvd, Suite 600a, Newport News, VA 23606-4544 | 2009-04-10 |
| 1841468345 | Jo Anne Brothers | Physical Therapist | 704 Thimble Shoals Blvd, Suite 400a, Newport News, VA 23606-4544 | 2008-02-19 |
| 1740472646 | Maricel Lilian Ridella | Internal Medicine | 704 Thimble Shoals Blvd, Building 300a, Newport News, VA 23606 | 2007-08-14 |
| 1427255702 | Drs Leddy and Wilson PC | Clinic/Center | 704 Thimble Shoals Blvd, Bldg 300a, Newport News, VA 23606-4544 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699735514 | Eastern Virginia Rheumatology Plc | Internal Medicine | 11747 Jefferson Ave, Suite 4e, Newport News, VA 23606-1998 | 2006-03-24 |
| 1336237619 | Herbert Alexander Wilson IIi | Internal Medicine | 704 Thimble Shoals Blvd, Bldg 300a, Newport News, VA 23606 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417334640 | Rabia Gill | Internal Medicine | 5504 Riverside Heights Way, Richmond, VA 23225-2477 | 2015-04-27 |
| 1821495656 | Arthritis and Rheumatology Clinical Center of Northern Virginia, Pllc | Internal Medicine | 8130 Boone Blvd Ste 340, Vienna, VA 22182-2640 | 2014-11-21 |
| 1225441363 | Peter Ellis Lipsky | Internal Medicine | 1545 London Rd, Charlottesville, VA 22901-8881 | 2014-06-06 |
| 1457770216 | Nishant Desai | Internal Medicine | 9221 Stony Crest Cir Apt 325, Richmond, VA 23235-6894 | 2014-04-09 |
| 1588902399 | Janaki Pinakin Patel | Internal Medicine | 70 Medical Center Cir Ste 201, Fishersville, VA 22939 | 2013-01-29 |
| 1477804680 | Collaborative Arthritis Care, Inc | Internal Medicine | 300a Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2972 | 2012-09-27 |
| 1598020935 | Stacy Tanner | Internal Medicine | 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 | 2012-07-11 |
| 1922366012 | Advanced Arthritis and Rheumatology Care, PC | Internal Medicine | 2324 Colony Crossing Pl, Midlothian, VA 23112-4280 | 2012-04-26 |
| 1669783221 | Timothy James Henshaw | Internal Medicine | 6335 Corntassel Ln, Roanoke, VA 24018-5625 | 2010-06-29 |
| 1396063319 | Yousef Zarbalian | Internal Medicine | 6800 Fleetwood Rd Ste 110, Mc Lean, VA 22101-3604 | 2010-05-14 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on KRISTI VERGENA MIZELLE.
| 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.