RICKY BROCKINGTON (NPI# 1871108233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871108233 |
| Entity Type | Individual |
| Full Name | RICKY BROCKINGTON |
| Practice Address |
19124 Lakeside Dr Courtland VA 23837-2634 |
| Practice Telephone | 7575622004 |
| Mailing Telephone | 7575622004 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024180104 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19124 LAKESIDE DR |
| City | COURTLAND |
| State | VA |
| Zip Code | 23837-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548777238 | Andrea Hall-leonard | Speech-Language Pathologist | Southampton County Public Schools 21290 Plank Road, Courtland, VA 23837 | 2018-01-04 |
| 1679564421 | Southampton County Board of Supervisors | Ambulance | 25436 Bridge St, Courtland, VA 23837-0000 | 2005-11-01 |
| 1053386979 | Commonwealth of Virginia State Board of Health | Clinic/Center | 26022 Administrative Center Drive, Courtland, VA 23837-0009 | 2006-02-22 |
| 1679049944 | Takeda Hinton | Contractor | 22086 Bateman St, Courtland, VA 23837-1005 | 2018-10-15 |
| 1467915991 | Believe In Me Mobile Phlebotomy Services, LLC | Clinic/Center | 22086 Bateman St, Courtland, VA 23837-1005 | 2019-04-11 |
| 1174938393 | Courtland Hearing Aids and Balance, LLC | Clinic/Center | 22730 Main St, Courtland, VA 23837-1127 | 2014-06-26 |
| 1235449497 | Stacy Ann Brinkley | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2010-10-20 |
| 1194117747 | Mary Babb | Nurse Practitioner | 22708 Main St, Courtland, VA 23837-1127 | 2015-02-19 |
| 1821362856 | Tenecia Renee Brown-shearin | Case Manager/Care Coordinator | 22038 High St, Courtland, VA 23837-1131 | 2012-03-08 |
| 1003829359 | Medical Facilities of America Xliii | Skilled Nursing Facility | 23020 Main St, Courtland, VA 23837-1133 | 2006-08-15 |
| Find all providers in zip 23837 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| 1013526466 | Deborah Anne Tenenbaum | Nurse Practitioner | 4000 Wilson Blvd Apt 1109, Arlington, VA 22203-4410 | 2020-07-30 |
| 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.