MRS. MARY K. BRANZELLE (NPI# 1932491073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932491073 |
| Entity Type | Individual |
| Full Name | MRS. MARY K. BRANZELLE |
| Credential | NP |
| Practice Address |
1300 Mactavish Ave Richmond VA 23230-4633 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 8049775906 |
| Practice Fax Number | 8049775937 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024169310 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024169310 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 MACTAVISH AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1124512637 | Innovage Virginia Pace II, LLC | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2018-06-18 |
| 1093229353 | Jordan Faith Damiano | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2017-11-24 |
| 1841684867 | Tiffany Pajic | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2015-03-27 |
| 1871886655 | Riverside Retirement Services, Inc. | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-26 |
| 1780977538 | Richmond Area Compassionate Care Pharmacy | Pharmacy | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4633 | 2011-05-25 |
| 1104117134 | Ronald Alfred Gregory | Pharmacist | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4616 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| 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 |
|---|---|---|---|---|
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1053956508 | Ihechi Ngozi Nwosuocha | Nurse Practitioner | 20010 Ballinger Ridge Ct, Richmond, TX 77407-4057 | 2019-11-07 |
| 1154976314 | Amanda Piper | Nurse Practitioner | 2200 Pump Rd Ste 200, Richmond, VA 23233-3539 | 2019-08-05 |
| 1083273676 | Winifred Onyali | Nurse Practitioner | 11222 Oudney Ct, Richmond, TX 77407-1883 | 2019-06-07 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1801365168 | Rosmond Adams Oberry | Nurse Practitioner | 7101 Jahnke Rd Ste 550s, Richmond, VA 23225-4017 | 2018-11-15 |
| 1780166090 | Todd A Johnson | Nurse Practitioner | 21530 Barrett Knolls Dr, Richmond, TX 77406-5300 | 2018-09-04 |
| 1053892844 | Christina Lack | Nurse Practitioner | 5855 Bremo Rd Ste 208, Richmond, VA 23226-1922 | 2018-08-28 |
| 1073002580 | Oyebola Temitope Oyekan | Nurse Practitioner | 7615 Northfork Hollow Ln, Richmond, TX 77407-2285 | 2018-05-09 |
| 1851897763 | Eno Ubaha | Nurse Practitioner | 17102 Winter Hedge Ct, Richmond, TX 77407-2602 | 2018-04-02 |
| Find all providers in RICHMOND | ||||
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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.