MRS. EUGENIA DANYELLE PRIVETT (NPI# 1780645184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780645184 |
Entity Type | Individual |
Full Name | MRS. EUGENIA DANYELLE PRIVETT |
Credential | PAC |
Practice Address |
1995 West Ridge Road Wytheville VA 24382 |
Practice Telephone | 2762231983 |
Practice Fax Number | 2762231316 |
Mailing Telephone | 2762231983 |
Mailing Fax Number | 2762231316 |
Enumeration Date | 2006-03-28 |
Last Update Date | 2016-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001464 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 10011302 | 05 |
Street Address |
1995 WEST RIDGE ROAD |
City | WYTHEVILLE |
State | VA |
Zip Code | 24382 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710016001 | N Paul Morin II Md PC | Physical Therapist | 1995 West Ridge Road, Wytheville, VA 24382 | 2007-03-05 |
1346314846 | Susan Nadine Earles | Physical Therapist | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
1972677474 | Benny Ray Haga | Nurse Practitioner | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
1144394644 | Norman Paul Morin II | Orthopaedic Surgery | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
1215001714 | N Paul Morin II Md PC | Clinic/Center | 1995 West Ridge Road, Wytheville, VA 24382 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
Find all providers in zip 24382 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
Find all providers with the same taxonomy |
City | WYTHEVILLE |
Zip Code | 24382 |
Please comment or provide details below to improve the information on MRS. EUGENIA DANYELLE PRIVETT.
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.