STEPHANIE S MARANGONI (NPI# 1689695330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689695330 |
| Entity Type | Individual |
| Full Name | STEPHANIE S MARANGONI |
| Credential | NP |
| Practice Address |
4092 Foxwood Dr Suite 101 Virginia Beach VA 23462-5225 |
| Mailing Address |
Po Box 7549 Portsmouth VA 23707-0549 |
| Practice Telephone | 7574674200 |
| Mailing Telephone | 7576863508 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001069819 | VA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 0024069819 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 500005939 | 01 | |
| VA | 007786859 | 05 |
| Street Address |
4092 FOXWOOD DR SUITE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884343 | Joseph Scott Welch | Emergency Medicine | 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 | 2005-07-08 |
| 1548735392 | Heather A Lustig | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2018-10-09 |
| 1679066070 | Kendell Nicole Cobb | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2018-06-11 |
| 1972002806 | Destiny Woods Houchin | Emergency Medicine | 4092 Foxwood Dr, Virginia Beach, VA 23462 | 2018-02-06 |
| 1417306317 | Kathryn Sidrow | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2016-06-10 |
| 1295184737 | Liana Michelle Johnson | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2016-06-06 |
| 1770937104 | Jacob Lunsford | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2016-04-22 |
| 1962800649 | Stacey Alena Moody | Physician Assistant | 4092 Foxwood Dr, Suite 101, Virginia Beach, VA 23462-5225 | 2014-12-12 |
| 1114332020 | Victoria M Evelyn | Physician Assistant | 4092 Foxwood Dr, Virginia Beach, VA 23462-5225 | 2014-06-30 |
| 1568890473 | James L Thompson | Physician Assistant | 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 | 2013-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455122 | Tonja Marie Devolgado | Nurse Practitioner | 2075 Glenn Mitchell Dr Ste 512, Virginia Beach, VA 23456-0179 | 2020-01-06 |
| 1720543069 | Erika Nicole Henson Miller | Nurse Practitioner | 307 Garcia Dr, Virginia Beach, VA 23454-4804 | 2019-01-31 |
| 1417432360 | Rosalyn Barberan | Nurse Practitioner | 4360 Shore Dr, Virginia Beach, VA 23455-2994 | 2018-09-26 |
| 1013422302 | Keisha Monique Baxter | Nurse Practitioner | 770 Lynnhaven Pkwy Ste 240, Virginia Beach, VA 23452-7324 | 2017-12-07 |
| 1184024911 | Deborah Lynn Wainwright | Nurse Practitioner | 502 Viking Dr Ste 200, Virginia Beach, VA 23452-7316 | 2014-08-29 |
| 1407105380 | Jamie Leigh Sustakoski | Nurse Practitioner | 1181 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2437 | 2012-09-06 |
| 1285864868 | Elizabeth Gray Uzzle | Nurse Practitioner | 1100 Taylor Rd, Virginia Beach, VA 23464-4080 | 2009-07-17 |
| 1235322439 | Nancy Lynn Hopkins | Nurse Practitioner | 4867 Baxter Rd Ste 105, Virginia Beach, VA 23462-4469 | 2007-08-21 |
| 1700812344 | Lynn J Berkhimer | Nurse Practitioner | 5501 Greenwich Rd, Suite 200, Virginia Beach, VA 23462-6540 | 2006-06-24 |
| 1063460780 | Nina E Ramsey | Nurse Practitioner | 1708 Old Donation Parkway, Virginia Beach, VA 23454-3064 | 2006-05-05 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
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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.