CHANELL TYNEALIA DORRIS (NPI# 1740791078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740791078 |
| Entity Type | Individual |
| Full Name | CHANELL TYNEALIA DORRIS |
| Credential | FNP-C |
| Practice Address |
748 Battlefield Blvd N Chesapeake VA 23320-4941 |
| Mailing Address |
5448 Cape Henry Ave Norfolk VA 23513-2411 |
| Practice Telephone | 7573828600 |
| Mailing Telephone | 2676940554 |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001243523 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175563 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
748 BATTLEFIELD BLVD N |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982665188 | Nancy Mae Welch | Preventive Medicine | 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-03-29 |
| 1487269452 | Jennifer Bulloch Hahn | Nurse Practitioner | 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-09-15 |
| 1376557900 | Mary Myra Barker | Nurse Practitioner | 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-07-28 |
| 1083678544 | Jerry E. Strohkorb | Preventive Medicine | 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-04-13 |
| 1447213061 | Commonwealth of Virginia-state Board of Health | Clinic/Center | 748 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969040 | Megan Cantley | Nurse Practitioner | 1747 County Road 118, Chesapeake, OH 45619-7921 | 2020-07-20 |
| 1851919708 | Martinique Lewis | Nurse Practitioner | 941 Lake Village Dr Apt B, Chesapeake, VA 23323-4721 | 2020-07-08 |
| 1972155687 | Ligaya D. Reyes | Nurse Practitioner | 1633 Water View Cir, Chesapeake, VA 23322-2170 | 2019-07-12 |
| 1578120358 | Latoya Loren Price | Nurse Practitioner | 1812 Quivers Keep, Chesapeake, VA 23321-1436 | 2019-05-28 |
| 1528526480 | Marisa I Burgos-martinez | Nurse Practitioner | 3900 South Rd, Chesapeake, VA 23321-3614 | 2019-03-08 |
| 1881158392 | Jennifer Elaine Stanley | Nurse Practitioner | 904 Marble Arch, Chesapeake, VA 23322-8711 | 2019-01-29 |
| 1700351798 | Charmayne Laquece Lanier-eason | Nurse Practitioner | 3060 Kenelm Dr, Chesapeake, VA 23323-2841 | 2018-10-05 |
| 1639662489 | Mary Oluwatoyin Taiwo | Nurse Practitioner | 2000 Angler Ct, Chesapeake, VA 23323-5345 | 2018-06-07 |
| 1891299558 | Cathryn Evans Hogan | Nurse Practitioner | 676 Kingsborough Sq Ste C, Chesapeake, VA 23320-4987 | 2018-03-19 |
| 1215437348 | Jennifer Anne Buda | Nurse Practitioner | 733 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1609 | 2018-02-15 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on CHANELL TYNEALIA DORRIS.
| 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.