MS. DEBRA JEAN MASSARO (NPI# 1578009346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578009346 |
| Entity Type | Individual |
| Full Name | MS. DEBRA JEAN MASSARO |
| Other Name | DR. DEBRA JEAN MASSARO |
| Credential | NP-C |
| Practice Address |
123 Sesame St. Roanoke VA 24011 |
| Mailing Address |
420 Eggleston Rd Pembroke VA 24136-3147 |
| Practice Telephone | 8888521988 |
| Mailing Telephone | 5404496077 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174335 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0024174335 | 05 |
| Street Address |
123 SESAME ST. |
| City | ROANOKE |
| State | VA |
| Zip Code | 24011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568405884 | Jilda Edean Long | Optometrist | 22 Campbell Ave Se, Roanoke, VA 24011 | 2006-06-14 |
| 1558415117 | Total Action Against Poverty | Voluntary or Charitable | 145 Campbell Ave Sw, Suite 601, Roanoke, VA 24011-1211 | 2007-01-22 |
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1700070083 | Long Sight, PC | Clinic/Center | 22 Campbell Ave Se, Roanoke, VA 24011-1404 | 2007-08-30 |
| 1679717151 | Blue Ridge Behavioral Healthcare | Community/Behavioral Health | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-04-28 |
| 1679717854 | Monique Deberry Worrell | Social Worker | 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 | 2009-05-01 |
| 1265523211 | City of Roanoke | Clinic/Center | 120 Kirk Ave Sw, Roanoke, VA 24011-1602 | 2006-09-27 |
| 1386892362 | Tennille Alycee Smelcer | Nurse Practitioner | 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 | 2008-09-03 |
| 1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
| Find all providers in zip 24011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1356953053 | Jamie Brackenrich | Nurse Practitioner | 6994 Dawnwood Rd, Roanoke, VA 24018-6839 | 2020-08-24 |
| 1164044608 | Denise Pollock | Nurse Practitioner | 6032 Matisse Ln, Roanoke, VA 24018-5335 | 2020-05-07 |
| 1538703061 | Erin Moyer Shinault | Nurse Practitioner | 3559 Meadowlark Rd, Roanoke, VA 24018-5007 | 2019-10-28 |
| 1972146421 | Amy Rose Gregor | Nurse Practitioner | 15645 Pioneer Bluff Trl, Roanoke, TX 76262-1799 | 2019-10-28 |
| 1811409402 | Victor Cisneros | Nurse Practitioner | 3535 Franklin Rd Sw, Roanoke, VA 24014-2255 | 2017-11-03 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1407216831 | Keri Lynn Baker | Nurse Practitioner | 1 Riverside Cir Fl 4, Roanoke, VA 24016-4961 | 2016-02-26 |
| 1598134173 | Jessica Van Auken | Nurse Practitioner | 2027 Bloomfield Ave, Roanoke, VA 24012-6775 | 2015-09-24 |
| Find all providers in ROANOKE | ||||
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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.