DANIELLE S. WENTWORTH (NPI# 1710387089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710387089 |
| Entity Type | Individual |
| Full Name | DANIELLE S. WENTWORTH |
| Other Name | DANIELLE S. KRUGLAK |
| Credential | FNP |
| Practice Address |
1335 Lee Street Charlottesville VA 22908-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349245969 |
| Practice Fax Number | 4349820522 |
| Enumeration Date | 2014-08-24 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00517500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172606 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184070807 | Danielle Wentworth | Audiologist | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2016-05-12 |
| Street Address |
1335 LEE STREET |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542424 | Theresa Churillo | Dietitian, Registered | 1335 Lee Street, West Complex 5th Floor, Charlottesville, VA 22911 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086450 | Han Ding | Nurse Practitioner | 1996 Asheville Dr, Charlottesville, VA 22911-3570 | 2020-08-31 |
| 1457964397 | Laura Wegner Hawk | Nurse Practitioner | 509 Moseley Dr, Charlottesville, VA 22903-4306 | 2020-08-29 |
| 1700426186 | Paula Atueyi | Nurse Practitioner | 225 Jeanette Lancaster Way, Charlottesville, VA 22903-3387 | 2020-01-13 |
| 1912478280 | Thomas Christian Agnew | Nurse Practitioner | 2411 Brook Rd, Charlottesville, VA 22901-2910 | 2018-12-16 |
| 1063882355 | Elizabeth Peters | Nurse Practitioner | 3554 Grand Forks Blvd, Charlottesville, VA 22911-9006 | 2015-09-30 |
| 1720463045 | Kathryn Hood | Nurse Practitioner | 535 Westfield Rd Ste 200, Charlottesville, VA 22901-1870 | 2015-07-28 |
| 1518356260 | Ashleigh Bergstrom | Nurse Practitioner | 675 Peter Jefferson Pkwy Ste 300, Charlottesville, VA 22911-8618 | 2015-01-19 |
| 1487055075 | Richard Harold Steeves | Nurse Practitioner | 3630 Glenaire Dr, Charlottesville, VA 22901-9220 | 2014-09-15 |
| 1053712299 | Evan Pryse | Nurse Practitioner | 2606 Lawrence Rd, Charlottesville, VA 22901-8945 | 2014-09-08 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
Please comment or provide details below to improve the information on DANIELLE S. WENTWORTH.
| 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.