MATTHEW LASSITER (NPI# 1487167649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487167649 |
| Entity Type | Individual |
| Full Name | MATTHEW LASSITER |
| Practice Address |
2025 Glenn Mitchell Dr Virginia Beach VA 23456-0178 |
| Mailing Address |
6021 Broward Pl Glen Allen VA 23059-7045 |
| Practice Telephone | 7575071000 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2025 GLENN MITCHELL DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179532 | Linwood Ray Spruiell | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2005-10-24 |
| 1215551361 | Cortney Brook Jones | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-06-04 |
| 1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
| 1962021576 | Michael Leary | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-04-14 |
| 1649808403 | Ashlee Simmons | Radiologic Technologist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-03-29 |
| 1063046548 | Tyler Adam Metzger | Physician Assistant | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-02-24 |
| 1962047084 | Ma Zaidelaine Arellano Llena | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-11-12 |
| 1053877274 | Melody Crystal Hanson | Occupational Therapist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-02-12 |
| 1821568957 | Katrina Monique Brown | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-12-02 |
| 1740765395 | Daezel Aler Lacanlale | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
| 1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
| 1487275152 | Ashley Katherine Thompson | Student in an Organized Health Care Education/Training Program | 205 34th St Apt 810, Virginia Beach, VA 23451-2867 | 2020-05-04 |
| 1285253567 | Nichole Ruth Freitas | Student in an Organized Health Care Education/Training Program | 1730 Jude Ct, Virginia Beach, VA 23464-6542 | 2020-04-16 |
| 1053930511 | Mary Elizabeth Baragar | Student in an Organized Health Care Education/Training Program | 3317 Regent Park Walk, Virginia Beach, VA 23452-6257 | 2020-04-14 |
| 1619506326 | Shelby Erin Graeff | Student in an Organized Health Care Education/Training Program | 1427 Automne Cir, Virginia Beach, VA 23451-6002 | 2020-04-04 |
| 1366070849 | Megan Oden | Student in an Organized Health Care Education/Training Program | 5441 Memorial Dr, Virginia Beach, VA 23455-3793 | 2020-03-30 |
| 1336775311 | Yekaterina V Jones | Student in an Organized Health Care Education/Training Program | 609 Goldsboro Ave, Virginia Beach, VA 23451-4761 | 2020-03-21 |
| 1235765496 | Martha Elizabeth Stoops | Student in an Organized Health Care Education/Training Program | 3682 Hill Breeze Rd, Virginia Beach, VA 23452-4707 | 2020-03-19 |
| 1528694049 | Courtney Barbero | Student in an Organized Health Care Education/Training Program | 1600 Lockridge Ct, Virginia Beach, VA 23454-5915 | 2020-03-16 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
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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.