TYRRIC MASON (NPI# 1508471426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508471426 |
| Entity Type | Individual |
| Full Name | TYRRIC MASON |
| Practice Address |
633 W Washington St Petersburg VA 23803-4132 |
| Mailing Address |
163 Seaboard St Petersburg VA 23803-2770 |
| Practice Telephone | 8045863762 |
| Mailing Telephone | 8045863762 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
VA | Nursing Service Related Providers |
| Street Address |
633 W WASHINGTON ST |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182659 | Beverly Clarke | Technician | 2247 Colston St, Petersburg, VA 23805-2203 | 2020-01-03 |
| 1316584618 | Crystal Eldridge | Technician | 1326 Halifax St, Petersburg, VA 23803-5919 | 2019-12-05 |
| 1487297289 | Iris Taylor | Technician | 1525 Baxter Rd, Petersburg, VA 23803-7901 | 2019-10-24 |
| 1760091821 | Lisa Shaffer | Technician | 12 Maple Hill Ave Ste 1, Petersburg, WV 26847-1547 | 2020-07-24 |
| 1427667575 | Rebekah Swick | Technician | 12 Maple Hill Ave Ste 1, Petersburg, WV 26847-1547 | 2020-07-24 |
| 1174132229 | Robin Berry | Technician | 12 Maple Hill Ave, Petersburg, WV 26847-1547 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868540 | Charly Strickland | Technician | 305 Wakefield Dr, Locust Grove, VA 22508-5135 | 2020-10-12 |
| 1174120315 | Martha Coffield | Technician | 2400 Sarah Spence, Williamsburg, VA 23185-8060 | 2020-10-01 |
| 1700493822 | Albert Herdeg | Technician | 319 Wood Duck Ct, Suffolk, VA 23434-8096 | 2020-09-24 |
| 1639784952 | Denise Quarantello | Technician | 4927 Fenton Mill Rd, Williamsburg, VA 23188-6923 | 2020-09-14 |
| 1407469653 | Gwenolyn Murphy | Technician | 25460 Meherrin Rd, Capron, VA 23829-2050 | 2020-08-27 |
| 1386253730 | Natosha Hurt | Technician | 27728 Prince Edward Hwy, Rice, VA 23966-2702 | 2020-07-30 |
| 1336757772 | Jaye Hughes | Technician | 5116 Hunters Meadow Pl, Henrico, VA 23231-7668 | 2020-07-22 |
| 1477161107 | Susie Shell | Technician | 154 Baltic Dr, Weber City, VA 24290-7324 | 2020-07-20 |
| 1245857838 | Latifat Adegite | Technician | 10805 Three Chopt Rd, Henrico, VA 23233-2019 | 2020-06-29 |
| 1205452257 | Barbara Pollard | Technician | 5658 High St W, Portsmouth, VA 23703-3742 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.