JESSICA DIETTER (NPI# 1649634189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649634189 |
| Entity Type | Individual |
| Full Name | JESSICA DIETTER |
| Practice Address |
1800 Camelot Dr Ste 200 Virginia Beach VA 23454-2440 |
| Practice Telephone | 7572529600 |
| Practice Fax Number | 7573512905 |
| Mailing Telephone | 7572529600 |
| Mailing Fax Number | 7573512905 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0102205711 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1906 Belleview Ave Se, Roanoke, VA 240141838 | 5409817000 |
| Street Address |
1800 CAMELOT DR STE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710952197 | Hyeon D Choi | Pediatrics | 1800 Camelot Dr Ste 200, Virginia Beach, VA 23454-2440 | 2006-02-21 |
| 1114291317 | Cheryl L Price | Physician Assistant | 1800 Camelot Dr Ste 200, Virginia Beach, VA 23454-2440 | 2012-03-06 |
| 1952509390 | Jeremy Peter Siegrist | Pediatrics | 1800 Camelot Dr Ste 200, Virginia Beach, VA 23454-2440 | 2007-07-06 |
| 1437353265 | Jennie Hurwitz Tabakin | Pediatrics | 1800 Camelot Dr Ste 200, Virginia Beach, VA 23454-2440 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629428560 | Daniel Garcia | Pediatrics | 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 | 2016-06-21 |
| 1740546134 | Partners In Pediatric Care, P.C. | Pediatrics | 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 | 2012-04-10 |
| 1780906479 | Isaac G. Doron | Pediatrics | 117 66th St, Virginia Beach, VA 23451-2016 | 2010-02-22 |
| 1063612554 | Valeria Noelia Higinio | Pediatrics | 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 | 2007-07-23 |
| 1508903550 | Joseph W Familant | Pediatrics | 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 | 2007-01-31 |
| 1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
| 1265517627 | Maria Teresa Josefa Tomas Torralba | Pediatrics | 804 Perez Ct, Virginia Beach, VA 23456-6730 | 2006-10-26 |
| 1548201973 | Megan K Bazil | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2006-06-09 |
| 1700844016 | Laura Alois Charette | Pediatrics | 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 | 2006-05-03 |
| 1154382018 | Ghazala Y Khan | Pediatrics | 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 | 2006-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.