KUSUM BHETWAL (NPI# 1003422163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003422163 |
| Entity Type | Individual |
| Full Name | KUSUM BHETWAL |
| Practice Address |
12804 Westin Estates Drive Glen Allen VA 23059 |
| Practice Telephone | 8043825458 |
| Mailing Telephone | 8043825458 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179682 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12804 WESTIN ESTATES DRIVE |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| 1063567220 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10101 Brook Rd Ste 852, Glen Allen, VA 23059 | 2007-01-25 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023667649 | Leah Blatzer | Nurse Practitioner | 4510 Marshall Run Cir Apt 204, Glen Allen, VA 23059-5863 | 2019-09-06 |
| 1699245936 | Kellems Geriatric Healthcare | Nurse Practitioner | 8715 Brays Fork Dr, Glen Allen, VA 23060-3693 | 2018-11-29 |
| 1790268415 | Kimberly Green-murray | Nurse Practitioner | 4803 Shellbark Ct, Glen Allen, VA 23059-7631 | 2018-09-09 |
| 1417444779 | Chantika K Ashe | Nurse Practitioner | 4911 Dunncroft Ct, Glen Allen, VA 23060-3660 | 2018-04-21 |
| 1457858300 | Kelly R Anderson | Nurse Practitioner | 10120 W Broad St Ste F, Glen Allen, VA 23060-6709 | 2018-04-08 |
| 1558870428 | Seeba N George | Nurse Practitioner | 11417 Willow Gate Dr, Glen Allen, VA 23060-6128 | 2017-09-23 |
| 1669839932 | Erin Lind | Nurse Practitioner | 10900 Nuckols Rd Ste 110, Glen Allen, VA 23060-9246 | 2016-01-18 |
| 1275852998 | Sheree Epps | Nurse Practitioner | 9705 Jebstone Ct, Glen Allen, VA 23059-4576 | 2010-05-19 |
| 1871796490 | Donna Marie Brown | Nurse Practitioner | 4212 Park Place Ct, Glen Allen, VA 23060-3314 | 2007-06-10 |
| 1043828874 | Iris Catherine Brown | Nurse Practitioner | 13100 Mountain Rd, Glen Allen, VA 23059-1734 | 2020-07-17 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
Please comment or provide details below to improve the information on KUSUM BHETWAL.
| 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.