KELLEY DUNCAN MAYDEN (NPI# 1871526194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871526194 |
| Entity Type | Individual |
| Full Name | KELLEY DUNCAN MAYDEN |
| Credential | AOCNP |
| Practice Address |
671 Highway 58 E Norton VA 24273-3007 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 2766795874 |
| Practice Fax Number | 2766796912 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024166936 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APN0000006314 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100062220 | 05 |
| Street Address |
671 HIGHWAY 58 E |
| City | NORTON |
| State | VA |
| Zip Code | 24273-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295700 | David P Miller | Internal Medicine | 671 Highway 58 E, Norton, VA 24273-3007 | 2006-02-17 |
| 1427564079 | April A Wallace | Registered Nurse | 671 Highway 58 E, Norton, VA 24273-3007 | 2017-12-19 |
| 1639433188 | Harish Madala | Internal Medicine | 671 Highway 58 E, Norton, VA 24273 | 2012-06-29 |
| 1972884005 | Wellmont Health System | Clinic/Center | 671 Highway 58 E, Norton, VA 24273-3007 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| 1528696440 | Kristi Matthews | Occupational Therapist | 22 10th St Nw, Norton, VA 24273 | 2020-03-27 |
| 1851929772 | Julie Ann Hoffer Mullins | Physical Therapist | 22 10th Street N.w., Norton, VA 24273 | 2020-03-27 |
| 1053839977 | Vijay Kumar PC | Family Medicine | 610 Park Avenue Nw, Norton, VA 24273 | 2017-08-30 |
| 1407376312 | Jacob A Nysather | Internal Medicine | 100 15th Street, N.w., Norton, VA 24273 | 2017-06-21 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1821548413 | William Luke Alls | Internal Medicine | 96 15th St., Suite 106, Norton, VA 24273 | 2016-10-07 |
| 1073978383 | Stephen Souther | Counselor | 515 Park Avenue Sw, Norton, VA 24273 | 2015-12-31 |
| 1306251889 | Rafaqat Rashid | Internal Medicine | 100 15th Street N.w, Norton Community Hospital, Internal Medicine Residency, Norton, VA 24273 | 2014-06-24 |
| Find all providers in zip 24273 | ||||
| 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 |
|---|---|---|---|---|
| 1841776648 | Jennifer Plunket | Nurse Practitioner | 1193 Norton Ave Ste A, Norton, OH 44203-9526 | 2018-07-14 |
| 1407082423 | Wendy N Rumley | Nurse Practitioner | 601 Commonwealth Dr, Norton, VA 24273-4053 | 2009-06-04 |
| 1386183028 | Western Virginia Regional Emergency Physicians, LLC | Nurse Practitioner | 100 15th St Nw, Norton, VA 24273-1616 | 2017-02-14 |
| 1649651720 | Cindy Ruth Vaughn | Nurse Practitioner | 340 Anderson Hollow Rd, Norton, VA 24273 | 2015-06-15 |
| 1003218041 | Patrick Lyons | Nurse Practitioner | 14 Taunton Ave, Norton, MA 02766-2738 | 2014-09-22 |
| 1861674160 | Norton Community Physician Services LLC | Nurse Practitioner | 96 15th St Nw, Suite 104, Norton, VA 24273 | 2007-11-29 |
| 1538377908 | Heather L Daniel | Nurse Practitioner | 14 Taunton Ave, Norton, MA 02766-2707 | 2007-05-18 |
| 1851302970 | Elizabeth M. Archambault | Nurse Practitioner | 14 Taunton Ave, Norton, MA 02766-2707 | 2006-08-11 |
| 1245272582 | Jill A Veverka | Nurse Practitioner | 3939 Cleveland Massillon Rd, Norton, OH 44203-5611 | 2006-06-12 |
| 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 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 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 |
| 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.