MR. DEWAYNE W MACK (NPI# 1639472699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639472699 |
| Entity Type | Individual |
| Full Name | MR. DEWAYNE W MACK |
| Credential | REGISTERED NURSE |
| Practice Address |
8119 Holland Rd Alexandria VA 22306-3135 |
| Practice Telephone | 7033606910 |
| Mailing Telephone | 7033606910 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
0001142876 | VA | Nursing Service Providers |
| Street Address |
8119 HOLLAND RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894591 | Cenith A. Hall-tibbs | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2006-07-18 |
| 1710586045 | Gary Wayne Carter | Registered Nurse | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2020-10-19 |
| 1467066548 | Rebecca Knowles | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2020-09-04 |
| 1861030173 | Jennifer Nhung Crittenden | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-12-17 |
| 1871136697 | Heather Lauren Parker | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-10-24 |
| 1396204293 | Stephanie Prior | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-03-19 |
| 1801350913 | L King | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-01-23 |
| 1942788161 | Jessica Lyn Williams | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2018-07-31 |
| 1881172286 | Dennis Edwards Shannon | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2018-07-30 |
| 1528573128 | Dominique Pia Adkins | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887281 | Eulonda Searcy Martin | Registered Nurse | 2007 Macarthur Dr, Suite 1, Alexandria, LA 71301-3767 | 2013-09-11 |
| 1871744607 | Catherine Ellen Longshore | Registered Nurse | 10156 Cedar Ln, Alexandria, KY 41001-8908 | 2008-10-10 |
| 1740397983 | Teresa Ann Shively | Registered Nurse | 8850 Richmond Hwy Ste 202, Alexandria, VA 22309-1586 | 2006-08-24 |
| 1528071743 | Louella Meachem | Registered Nurse | 8850 Richmond Hwy, 200, Alexandria, VA 22309-1586 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962449 | Andre Pierre Young | Registered Nurse | 1124 Elmshadow Dr, Richmond, VA 23231-4765 | 2020-11-05 |
| 1053910216 | Melanie Ann Scaggs | Registered Nurse | 2100 Cricket Ct, Virginia Beach, VA 23454-2805 | 2020-10-20 |
| 1700485851 | Joyce S Redding | Registered Nurse | 2337 Spindrift Rd, Virginia Beach, VA 23451-1720 | 2020-10-20 |
| 1922643790 | Sharon Y Mason | Registered Nurse | 1467 Chesterfield Rd, Locust Grove, VA 22508-3131 | 2019-11-15 |
| 1295389567 | Tameka Jimmel Wyche-brown | Registered Nurse | 1302 Satterfield Dr, Emporia, VA 23847-2718 | 2019-07-25 |
| 1750941415 | Sabrina Branch Griffin | Registered Nurse | 3513 Skipping Rock Way, Richmond, VA 23234 | 2019-06-15 |
| 1164915872 | Joyce Haskins Moon | Registered Nurse | 5524 Wainwright Dr, Richmond, VA 23225-4343 | 2018-06-08 |
| 1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
| 1033622022 | Chelsey Hagy | Registered Nurse | 29435 Hawthorne Dr, Meadowview, VA 24361-2937 | 2017-11-13 |
| 1609394790 | Elizabeth Morton Hart | Registered Nurse | 3788 Rolling Rd, Scottsville, VA 24590-4229 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
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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.