MAYOWA DAVID ARIBISALA (NPI# 1770147019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770147019 |
| Entity Type | Individual |
| Full Name | MAYOWA DAVID ARIBISALA |
| Practice Address |
7612 Timberlake Rd Apt 1312 Lynchburg VA 24502-2490 |
| Practice Telephone | 3017478695 |
| Mailing Telephone | 3017478695 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7612 TIMBERLAKE RD APT 1312 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1811520141 | Devan Thomas Wise | Student in an Organized Health Care Education/Training Program | 3100 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3972 | 2020-02-14 |
| 1689142010 | Karlie Marie Ennis | Student in an Organized Health Care Education/Training Program | 1900 Weeping Willow Dr Apt F, Lynchburg, VA 24501-3966 | 2018-11-03 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1649718925 | William Samuel Beals | Student in an Organized Health Care Education/Training Program | 1328 Wood Rd, Lynchburg, VA 24502-2658 | 2017-02-07 |
| 1730627019 | Heather Mercy | Student in an Organized Health Care Education/Training Program | 15 Sedgebrook Ct, Apartment 301, Lynchburg, VA 24502-7263 | 2017-02-07 |
| 1811435191 | Taylor Mastin | Student in an Organized Health Care Education/Training Program | 153 New Towne Rd, Lynchburg, VA 24502-4577 | 2017-02-07 |
| 1356892483 | Dalton Barrier | Student in an Organized Health Care Education/Training Program | 350 Lake Forrest Rd, Lynchburg, TN 37352-5991 | 2016-10-24 |
| 1659730406 | Joshua Valentine | Student in an Organized Health Care Education/Training Program | 205 Towne Crier Rd, Lynchburg, VA 24502-4966 | 2016-02-22 |
| 1346865995 | Jared N Smith | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave Ste 10, Lynchburg, VA 24501-2652 | 2020-06-10 |
| Find all providers in LYNCHBURG | ||||
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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.