LOURDES FELISA WILLOUGHBY (NPI# 1538646914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538646914 |
| Entity Type | Individual |
| Full Name | LOURDES FELISA WILLOUGHBY |
| Credential | BA, QMHP, SF |
| Practice Address |
8180 Hamilton Dr Gloucester VA 23061-5296 |
| Practice Telephone | 8048242300 |
| Practice Fax Number | 8048242300 |
| Mailing Telephone | 8048242300 |
| Mailing Fax Number | 8048242300 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 12VAC30-120-730 | VA | Nursing Service Related Providers |
| Street Address |
8180 HAMILTON DR |
| City | GLOUCESTER |
| State | VA |
| Zip Code | 23061-5296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568945582 | Hope Dealer Siempre, LLC | Case Manager/Care Coordinator | 8180 Hamilton Dr, Gloucester, VA 23061-5296 | 2018-09-14 |
| 1083195002 | Rodney Levi Willoughby | Counselor | 8180 Hamilton Dr, Gloucester, VA 23061-5296 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
| 1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
| 1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
| 1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
| 1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
| 1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
| 1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
| 1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
| 1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
| 1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
| Find all providers in zip 23061 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215188636 | Patricia Ann Nelson | Adult Companion | 3139 Millers Landing Rd, Gloucester, VA 23061-3051 | 2008-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107862 | Kendra Johnson | Adult Companion | 5940 Sentry Hill Ct # 9b, North Dinwiddie, VA 23803-7400 | 2020-09-07 |
| 1972114429 | Angel Florine Pye | Adult Companion | 1712 Princeton Ave, Norfolk, VA 23523-2332 | 2020-08-10 |
| 1972113199 | Hannah Beyan | Adult Companion | 13800 Coppermine Rd # 103, Herndon, VA 20171-6163 | 2020-08-03 |
| 1922632157 | Keith Stradford | Adult Companion | 1340 County Pond Rd, Freeman, VA 23856-2604 | 2020-02-26 |
| 1184263113 | Goal Succeeders | Adult Companion | 4401 Virginia Beach Blvd, Virginia Beach, VA 23462-3106 | 2019-12-20 |
| 1346886504 | Chaz Lamar Clyburn | Adult Companion | 5217 Shady Grove Ln, Virginia Beach, VA 23462-1787 | 2019-11-22 |
| 1407491244 | Clarissa Phillips | Adult Companion | 9254 Three Chopt Rd Apt C, Henrico, VA 23229-4049 | 2019-11-15 |
| 1528603172 | Quality Care At Home | Adult Companion | 5226 Whetstone Rd, North Chesterfield, VA 23234-4324 | 2019-11-07 |
| 1174165963 | Aracely Maldonado | Adult Companion | 3134 Eagle Talon St, Woodbridge, VA 22191-6509 | 2019-10-13 |
| 1770133886 | Gloria R Frye | Adult Companion | 10918 Robious Rd, North Chesterfield, VA 23235-3763 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 23061 |
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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.