MR. WILLIAM EDWARD PAULEY III (NPI# 1770002172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770002172 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM EDWARD PAULEY III |
| Credential | FNP-C |
| Practice Address |
4910 Valley View Blvd Nw Roanoke VA 24012 |
| Mailing Address |
2000 Health Park Dr Fl Hp2 Brentwood TN 37027-4525 |
| Practice Telephone | 5402651607 |
| Practice Fax Number | 5403667353 |
| Mailing Telephone | 6153737600 |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024175388 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Market Ridge Ln, Daleville, VA 240833258 | 5409660400 |
| Street Address |
4910 VALLEY VIEW BLVD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409652 | John Daugherty | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2005-12-27 |
| 1851920607 | Peter Hartung | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2020-04-03 |
| 1336609155 | Mitesh Patel | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, 3rd Floor, Roanoke, VA 24012 | 2019-03-20 |
| 1275092660 | Teana Harris | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2019-03-15 |
| 1447789425 | Hilary L Linderman | Psychologist | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-06-05 |
| 1053869271 | Samantha Smart | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2016-09-16 |
| 1740644673 | Abigail Lubin | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2016-04-06 |
| 1821471459 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4910 Valley View Blvd Nw, Suite L, Roanoke, VA 24012-2040 | 2015-07-01 |
| 1730509944 | Tara Wickline Stone | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2014-04-27 |
| 1699032060 | Matthew William Kelly | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2012-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| 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 |
|---|---|---|---|---|
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1235605569 | Elaine G. Critticos | Nurse Practitioner | 918 Hartsook Blvd Se, Roanoke, VA 24014-4324 | 2018-10-14 |
| 1861792400 | Brandi L. Tomlin | Nurse Practitioner | 4035 Electric Rd Ste A, Roanoke, VA 24018-8449 | 2010-10-29 |
| 1245496769 | Best Practice Disease Management, Inc. | Nurse Practitioner | 3616 Derby Dr, Roanoke, VA 24012-6531 | 2008-08-04 |
| 1508942533 | Nancy Wilson | Nurse Practitioner | 4903 Starkey Rd Suite 300, Starkey Medical PC, Roanoke, VA 24014 | 2006-10-31 |
| 1619057031 | Malinda Cooling | Nurse Practitioner | 401 N Main, Roanoke, IL 61561 | 2006-10-17 |
| 1922021286 | Carla Bolek | Nurse Practitioner | 415 W Front St, Roanoke, IL 61561-7817 | 2006-07-26 |
| 1730100553 | April Harrod | Nurse Practitioner | 965 Highway 431, Roanoke, AL 36274-7329 | 2006-07-21 |
| 1407829542 | Christina E Stephenson | Nurse Practitioner | 3390 Colonial Ave, Roanoke Family Medicine Inc, Roanoke, VA 24018 | 2006-02-09 |
| Find all providers in ROANOKE | ||||
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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.