MS. TAHAYYA A. M ANSARI (NPI# 1619147618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619147618 |
| Entity Type | Individual |
| Full Name | MS. TAHAYYA A. M ANSARI |
| Credential | PA-C |
| Practice Address |
700 24th St Kenner Army Health Clinic Fort Lee VA 23801-0030 |
| Mailing Address |
700 24th St Fort Lee VA 23801-1716 |
| Practice Telephone | 8047346262 |
| Mailing Telephone | 8047346262 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2009-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001749 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 24TH ST KENNER ARMY HEALTH CLINIC |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448334 | Robert Stanley Brown Sr. | Psychiatry & Neurology | 700 24th St, Fort Lee, VA 23801-1716 | 2005-06-24 |
| 1306354196 | Raquel Bopp | Dietitian, Registered | 700 24th St, Fort Lee, VA 23801-1716 | 2018-01-16 |
| 1316495419 | Monica Jones | Psychologist | 700 24th St, Bldg 8130, Fort Lee, VA 23801-1716 | 2016-09-17 |
| 1316324445 | Cody J Cole | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2015-04-27 |
| 1598195174 | Michael Hurst | Physical Therapist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-11-19 |
| 1114355542 | Zachary Marcus Leftwich | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-10-22 |
| 1235578857 | Elizabeth Ramona Brown | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2013-06-17 |
| 1881938793 | Melanee Davis | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-11-15 |
| 1871840793 | Jasmin Isabel Filpo | Optometrist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-08-09 |
| 1912264359 | Pamela Annette Mcphearson | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
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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.