MH 102, PC (NPI# 1982238036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982238036 |
| Entity Type | Organization |
| Organization Name | MH 102, PC |
| Practice Address |
5937 Cove Rd Roanoke VA 24019-2403 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 5407952279 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | BEVERLEY RAYMOND (PRESIDENT) |
| Authorized Official Telephone | 5407952279 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | MH 102, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Roanoke County Cove Rd | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1457985590 | Mh 102, PC | Nurse Practitioner | 193 Tilley Dr, South Burlington, VT 05403-4440 | 2020-02-27 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1174157218 | Mh 102, PC | Nurse Practitioner | 813 E 68th St Ste B, Savannah, GA 31405-4710 | 2020-02-27 |
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1588298624 | Mh 102, PC | Nurse Practitioner | 817 Botetourt Ct Ste 106, Chesapeake, VA 23320-4886 | 2020-02-27 |
| 1285105171 | Mh 102, PC | Nurse Practitioner | 2322 Blue Stone Hills Dr Ste 260, Harrisonburg, VA 22801-5403 | 2018-12-17 |
| 1811476286 | Mh 102, PC | Nurse Practitioner | 1020 Barrow Industrial Pkwy, Winder, GA 30680-3891 | 2018-08-07 |
| 1689177040 | Mh 102, PC | Nurse Practitioner | 98 Alexandria Pike Ste 52, Warrenton, VA 20186-2849 | 2018-03-13 |
| 1720599657 | Mh 102, PC | Nurse Practitioner | 864 Spring St Nw, Atlanta, GA 30308-1007 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MH 102, PC | Po Box 5, Winooski, VT 05404 |
| Street Address |
5937 COVE RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710903349 | Roanoke County Public Schools | Local Education Agency (LEA) | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2006-07-15 |
| 1043829856 | Nicole Pagano | Psychologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2020-07-28 |
| 1316555105 | Megan Jo Molnar | Speech-Language Pathologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2020-07-17 |
| 1558861344 | Deborah Brown | Occupational Therapist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2018-02-18 |
| 1275041675 | Mary Coffey | Speech-Language Pathologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2018-01-19 |
| 1912414079 | Maggie Clare Holliman | Psychologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2018-01-10 |
| 1851806608 | Paula R. English | Speech-Language Pathologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2017-12-01 |
| 1881108777 | Katherine J Magri | Psychologist | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2017-11-30 |
| 1861906646 | Lisa Conner Gerritsen | Occupational Therapy Assistant | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2017-11-30 |
| 1447764493 | Suzy Weddle Cook | Occupational Therapy Assistant | 5937 Cove Rd, Roanoke, VA 24019-2403 | 2017-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| 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 |
|---|---|---|---|---|
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1235605569 | Elaine G. Critticos | Nurse Practitioner | 918 Hartsook Blvd Se, Roanoke, VA 24014-4324 | 2018-10-14 |
| 1861792400 | Brandi L. Tomlin | Nurse Practitioner | 4035 Electric Rd Ste A, Roanoke, VA 24018-8449 | 2010-10-29 |
| 1245496769 | Best Practice Disease Management, Inc. | Nurse Practitioner | 3616 Derby Dr, Roanoke, VA 24012-6531 | 2008-08-04 |
| 1508942533 | Nancy Wilson | Nurse Practitioner | 4903 Starkey Rd Suite 300, Starkey Medical PC, Roanoke, VA 24014 | 2006-10-31 |
| 1619057031 | Malinda Cooling | Nurse Practitioner | 401 N Main, Roanoke, IL 61561 | 2006-10-17 |
| 1922021286 | Carla Bolek | Nurse Practitioner | 415 W Front St, Roanoke, IL 61561-7817 | 2006-07-26 |
| 1730100553 | April Harrod | Nurse Practitioner | 965 Highway 431, Roanoke, AL 36274-7329 | 2006-07-21 |
| 1407829542 | Christina E Stephenson | Nurse Practitioner | 3390 Colonial Ave, Roanoke Family Medicine Inc, Roanoke, VA 24018 | 2006-02-09 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on MH 102, PC.
| 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.