RUTH FOGELGREN


Address: 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363
Phone: 4349821700

RUTH FOGELGREN (NPI# 1780194506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780194506
Entity Type Individual
Full Name RUTH FOGELGREN
Credential FNP
Practice Address 1300 Jefferson Park Ave
Charlottesville
VA 22903-3363
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349821700
Practice Fax Number 4349824054
Enumeration Date 2017-10-06
Last Update Date 2020-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024175471 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1780194506 05

Office Location

Street Address 1300 JEFFERSON PARK AVE
City CHARLOTTESVILLE
State VA
Zip Code 22903-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555399 Bruce C Carter Ophthalmology 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2005-08-11
1760089981 Loretta Raiford Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-10-01
1588270342 Rachel K Murray Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-09-17
1992321616 Kristina Marie Creadore Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-06-18
1215558762 Allison Gossen Genetic Counselor, MS 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-05-06
1508409061 Molly Stevenson Bailey Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1497398994 Rebecca Shea Turner Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1215585443 Katherine Emma Connell Nurse Practitioner 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-30
1639724263 Casey Erin Cavanagh Psychologist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-09
1679128482 Jia Yu Liu Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1710387089 Danielle S. Wentworth Nurse Practitioner 1335 Lee Street, Charlottesville, VA 22908-3363 2014-08-24
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

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.

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