MR. DAVID MELTON DEVERICKS (NPI# 1487775896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487775896 |
| Entity Type | Individual |
| Full Name | MR. DAVID MELTON DEVERICKS |
| Credential | RN |
| Practice Address |
8418 Varina Rd Richmond VA 23231-8242 |
| Practice Telephone | 8047952454 |
| Mailing Telephone | 8047952454 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
0001163041 | VA | Nursing Service Providers |
| Street Address |
8418 VARINA RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892781 | Therese Marie Hewitt | Registered Nurse | 242 Bridge St, Richmond, VT 05477-4507 | 2019-10-08 |
| 1477933893 | Richard Zavalla | Registered Nurse | 1814 Matthew Glen Ln, Richmond, TX 77469-1689 | 2015-06-01 |
| 1730239591 | Lisa E Seldon | Registered Nurse | 1805 Meadow Farm Dr, Richmond, VA 23225-7446 | 2007-01-11 |
| 1710596077 | Cecile Elizabeth Defalco | Registered Nurse | 7101 Jahnke Rd, Richmond, VA 23225-4044 | 2020-07-23 |
| 1730660804 | Rachel Gillman | Registered Nurse | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2018-08-27 |
| 1821576984 | Elizabeth Mangano | Registered Nurse | 5875 Bremo Rd Ste 209, Richmond, VA 23226-1934 | 2018-08-01 |
| 1598253155 | Keith Sauve | Registered Nurse | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2018-04-28 |
| 1902350556 | Tina Holbrook | Registered Nurse | 312 Jason Dr Ste 9, Richmond, KY 40475-2785 | 2016-08-12 |
| 1972856201 | Cheryl Porter | Registered Nurse | 1700 Bayberry Ct, Richmond, VA 23226-3791 | 2012-10-24 |
| 1891086534 | Laura K Bowen | Registered Nurse | 5801 Bremo Rd, Richmond, VA 23226-1907 | 2011-04-28 |
| Find all providers in RICHMOND | ||||
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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.