SERITA DANIELLE WILLIS (NPI# 1598267544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598267544 |
| Entity Type | Individual |
| Full Name | SERITA DANIELLE WILLIS |
| Practice Address |
2557 Willie Craig Road Bassett VA 24055 |
| Mailing Address |
2557 Willie Craig Rd Bassett VA 24055-3310 |
| Practice Telephone | 2762243518 |
| Mailing Telephone | 2762243518 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | T63326190 | VA | Transportation Services |
| Street Address |
2557 WILLIE CRAIG ROAD |
| City | BASSETT |
| State | VA |
| Zip Code | 24055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104237221 | Harder's Drugstore | Pharmacist | 3433 Fairystone, Bassett, VA 24055 | 2014-05-12 |
| 1164669628 | Bassett Rescue Squad Incorporated | Ambulance | 1950 Riverside Drive, Bassett, VA 24055 | 2009-01-20 |
| 1497839625 | William Harder | Pharmacist | 3433 Fairystone Park Hwy, Bassett, VA 24055 | 2006-10-24 |
| 1508929712 | Tony Allen Ramsey | Dentist | 15 Ridgewood Road, Bassett, VA 24055-1601 | 2006-12-18 |
| 1942380811 | David L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-16 |
| 1558444091 | Susan L. Morris | Dentist | 3441 Fairystone Park Hway, Bassett, VA 24055-1607 | 2006-10-20 |
| 1053858951 | Glenda's Cd Service | Case Management | 901 Graceland Dr, Bassett, VA 24055-3564 | 2017-01-30 |
| 1891933834 | Walter D Street | Contractor | 573 Mount Hermon Church Rd, Bassett, VA 24055-3569 | 2009-01-29 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| 1174556294 | Family Discount Pharmacy, Inc. | Pharmacy | 335 Riverside Dr, Bassett, VA 24055-4245 | 2006-07-09 |
| Find all providers in zip 24055 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119808 | Mercy Transports LLC | Private Vehicle | 3212 Mechanicsville Turnpike, Mechanicsville, VA 23111 | 2020-09-16 |
| 1992321517 | Kenneth Bell | Private Vehicle | 47 Gainsborough Pl, Newport News, VA 23608-2029 | 2020-06-19 |
| 1720601065 | Tenea Latrice Walker | Private Vehicle | 2780 Mahixon Rd, Manquin, VA 23106-2318 | 2020-05-21 |
| 1649892589 | Shanique Washington | Private Vehicle | 2247 Dellrose Dr Apt A, Hopewell, VA 23860-7205 | 2020-05-14 |
| 1164044103 | Cornell Daniel Bailey | Private Vehicle | 1016 Level Green Blvd, Virginia Beach, VA 23464-4509 | 2020-05-13 |
| 1427684950 | Michelle Denise Young | Private Vehicle | 1228 Golden Leaf Rd, Nathalie, VA 24577-3494 | 2020-03-17 |
| 1083248884 | Lowell D. Evans | Private Vehicle | 114 Pine Shores Ln, Huddleston, VA 24104-3155 | 2020-03-02 |
| 1841823713 | Rachel Nicole Davis | Private Vehicle | 529 Freeze Rd, Danville, VA 24540-2135 | 2020-02-19 |
| 1235762345 | Michael E Shannon | Private Vehicle | 7928 Brown Mountain Rd, Jewell Ridge, VA 24622-8640 | 2020-02-17 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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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.