MR. EDWIN CHARLES KHONYONGWA (NPI# 1922611078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922611078 |
| Entity Type | Individual |
| Full Name | MR. EDWIN CHARLES KHONYONGWA |
| Credential | LALFA, LPN |
| Practice Address |
7829 Dolleys Ct King George VA 22485-7085 |
| Mailing Address |
5153 Spinnaker Ln King George VA 22485-3163 |
| Practice Telephone | 5403183940 |
| Practice Fax Number | 7039106907 |
| Mailing Telephone | 5713549781 |
| Mailing Fax Number | 7039106907 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0002092297 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSED PRACTICAL NURSE | 0002092297 | 01 |
| VA | NURSING HOME ADMINISTRATOR | 1732000897 | 01 |
| VA | NURSE AID | 1401150271 | 01 |
| VA | ASSISTED LIVING ADMINISTRATOR | 1706001017 | 01 |
| Street Address |
7829 DOLLEYS CT |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972019180 | Aleta M Dorm | Licensed Practical Nurse | 11399 Ianthas Way, King George, VA 22485-2452 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891595 | Vycki J Midgette | Licensed Practical Nurse | 26444 Gladding Rd, Mears, VA 23409-2304 | 2020-11-07 |
| 1457959827 | Stella Nancy Morgan-bendu | Licensed Practical Nurse | 5568 General Washington Dr Ste A201, Alexandria, VA 22312-2465 | 2020-10-16 |
| 1992312953 | Ruth Ann Stephens | Licensed Practical Nurse | 128 Parrott St, Danville, VA 24540-2610 | 2020-09-24 |
| 1669085486 | Richarda Fields | Licensed Practical Nurse | 1013 Kenelm Ct, Virginia Beach, VA 23464-8845 | 2020-08-31 |
| 1841800471 | Zainab Jalloh | Licensed Practical Nurse | 1384 Old Bridge Rd Ste 200-b, Woodbridge, VA 22192-2769 | 2020-08-07 |
| 1528678919 | Unique Health Services | Licensed Practical Nurse | 13945 Hollow Wind Way Unit 101, Woodbridge, VA 22191-6057 | 2020-07-31 |
| 1407465180 | There's No Place Like Home Health Agency | Licensed Practical Nurse | 7274 Hanover Green Dr., Mechanicsville, VA 23111-1797 | 2020-07-28 |
| 1821616723 | Sherita Johnson | Licensed Practical Nurse | 3411 Castlebury Dr, Chester, VA 23831-1860 | 2020-07-08 |
| 1639790462 | Bandetra Oglesby-confron | Licensed Practical Nurse | 300 Continental Pkwy Apt 302, Newport News, VA 23602-4542 | 2020-05-04 |
| 1639798465 | Hazel Battle | Licensed Practical Nurse | 13805 Village Mill Dr Ste 203, Midlothian, VA 23114-4304 | 2020-04-12 |
| Find all providers with the same taxonomy | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
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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.