MS. ELLEN J DEHAVEN


Address: 3 Riverside Circle, Carilion Clinic General and Breast Surgery, Roanoke, VA 24016
Phone: 5402245170

MS. ELLEN J DEHAVEN (NPI# 1801104302) 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) 1801104302
Entity Type Individual
Full Name MS. ELLEN J DEHAVEN
Credential FNP-BC
Practice Address 3 Riverside Circle
Carilion Clinic General and Breast Surgery
Roanoke
VA 24016
Practice Telephone 5402245170
Practice Fax Number 5409838212
Mailing Telephone 5402245170
Mailing Fax Number 5409838212
Enumeration Date 2010-09-17
Last Update Date 2011-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 0001195805 VA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024168977 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3 RIVERSIDE CIRCLE
CARILION CLINIC GENERAL AND BREAST SURGERY
City ROANOKE
State VA
Zip Code 24016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215939426 Stephen Gordon Remine Surgery 3 Riverside Circle, Dept of Surgery, Roanoke, VA 24016 2005-06-01
1235756115 Muhammad Fawwad Ahmed Hussain Student in an Organized Health Care Education/Training Program 3 Riverside Circle, Carilion Clinic Neurology, Roanoke, VA 24016 2020-06-26
1861650350 Suzanna Connick Jamison Internal Medicine 3 Riverside Circle, Roanoke, VA 24016 2008-05-30
1891838249 Paul Yeaton Internal Medicine 3 Riverside Circle, Lee Street, 1st Floor, Roanoke, VA 24016 2007-02-15
1295816544 Ross William Murchison Internal Medicine 3 Riverside Circle, Roanoke, VA 24016 2006-10-17
1407946981 James Schmidley Psychiatry & Neurology 3 Riverside Circle, Roanoke, VA 24016 2006-10-13
1659481984 Lisa S Apfel Neurological Surgery 3 Riverside Circle, Roanoke, VA 24016 2006-08-30
1104831767 Stanley Clifford Schold Psychiatry & Neurology 3 Riverside Circle, Roanoke, VA 24016 2006-07-30
1538180575 Marrieth Garciela Rubio Internal Medicine 3 Riverside Circle, Va Gulf Coast Healthcare System (111), Roanoke, VA 24016 2006-07-23
1023053758 Elvis Ramon Pagan Internal Medicine 3 Riverside Circle, Roanoke, VA 24016 2006-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758329 Davis Andrew Sugar Student in an Organized Health Care Education/Training Program 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 2020-04-08
1356810659 Susanne Tribble Social Worker 202 Wells Ave Nw, Roanoke, VA 24016 2018-11-15
1801305818 Rena Lee Daye Driver 10 12th St. Sw, Roanoke, VA 24016 2017-09-21
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1235685884 Helen Franck Physical Therapist 650 North Jefferson Street, Roanoke, VA 24016 2016-09-01
1457710238 Frances Marie Gaeta Social Worker 360 Campbell Ave, Roanoke, VA 24016 2016-02-22
1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
1982008181 National Counseling Group, Inc Psychiatry & Neurology 20 Walnut Avenue, Roanoke, VA 24016 2014-10-17
1366858342 National Counseling Group, Inc Psychiatry & Neurology 16 Walnut Avenue, Roanoke, VA 24016 2014-07-10
1427320878 Kristen L. Jagger Physical Medicine & Rehabilitation 1015 First Street Sw Suite 2, Roanoke, VA 24016 2012-02-01
Find all providers in zip 24016

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
1225638026 Prasanti Pinnamaraju Nurse Practitioner 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 2020-10-29
1912512856 Jennifer Larson Nurse Practitioner 8325 Barrens Rd, Roanoke, VA 24019-6701 2020-09-08
1356953053 Jamie Brackenrich Nurse Practitioner 6994 Dawnwood Rd, Roanoke, VA 24018-6839 2020-08-24
1164044608 Denise Pollock Nurse Practitioner 6032 Matisse Ln, Roanoke, VA 24018-5335 2020-05-07
1538703061 Erin Moyer Shinault Nurse Practitioner 3559 Meadowlark Rd, Roanoke, VA 24018-5007 2019-10-28
1972146421 Amy Rose Gregor Nurse Practitioner 15645 Pioneer Bluff Trl, Roanoke, TX 76262-1799 2019-10-28
1811409402 Victor Cisneros Nurse Practitioner 3535 Franklin Rd Sw, Roanoke, VA 24014-2255 2017-11-03
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1578009346 Debra Jean Massaro Nurse Practitioner 123 Sesame St., Roanoke, VA 24011 2017-01-17
1407216831 Keri Lynn Baker Nurse Practitioner 1 Riverside Cir Fl 4, Roanoke, VA 24016-4961 2016-02-26
Find all providers in ROANOKE

Competitor

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City ROANOKE
Zip Code 24016

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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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