JOHN A OTALLAH (NPI# 1790065779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790065779 |
| Entity Type | Individual |
| Full Name | JOHN A OTALLAH |
| Credential | ED. S. |
| Practice Address |
14115 Lovers Ln Suite 56 Culpeper VA 22701-4157 |
| Mailing Address |
17158 Lakemont Dr Culpeper VA 22701-7910 |
| Practice Telephone | 5403083857 |
| Mailing Telephone | 5408251462 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0803000022 | VA | Behavioral Health & Social Service Providers |
| Street Address |
14115 LOVERS LN SUITE 56 |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701-4157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853920 | Culpeper Medical Associates, LLC | Clinic/Center | 14115 Lovers Ln, Suite 100, Culpeper, VA 22701-4157 | 2006-05-31 |
| 1376155333 | Taylor Stratton | Physical Therapist | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2020-08-20 |
| 1366053514 | Casandra Hooghouse | Occupational Therapy Assistant | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2020-08-12 |
| 1902374291 | Samantha Klotz | Physical Therapist | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2018-11-05 |
| 1467819946 | Chantal Racheau | Counselor | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2016-01-28 |
| 1477830610 | Family Life Counseling LLC | Home Health | 14115 Lovers Ln, Ste 160, Culpeper, VA 22701-4157 | 2011-11-15 |
| 1275844474 | Shannon Leigh Raybuck | Counselor | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2010-06-23 |
| 1245445725 | Wanda Lee Kasel | Occupational Therapist | 14115 Lovers Ln, Culpeper, VA 22701-4157 | 2007-05-10 |
| 1003820309 | Counseling Interventions, Inc. | Counselor | 14115 Lovers Ln, Suite 55, Culpeper, VA 22701-4157 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
| Find all providers in zip 22701 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136026 | Elizabeth Coalter | Psychologist | 450 Radio Ln, Culpeper, VA 22701-1521 | 2020-02-18 |
| 1528699097 | Sarah Labowskie Beamer | Psychologist | 450 Radio Ln, Culpeper, VA 22701-1521 | 2020-02-03 |
| 1235760943 | Jamie Barnicle David | Psychologist | 450 Radio Ln, Culpeper, VA 22701-1521 | 2020-01-31 |
| 1902437601 | Sarah Nevill | Psychologist | 450 Radio Ln, Culpeper, VA 22701-1521 | 2020-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1851948830 | Kyle Jacob Maziarski | Psychologist | 100 Panther Dr, Fredericksburg, VA 22406-7473 | 2019-08-23 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
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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.