MR. SHELLIE LINDBERGH RANKIN JR. (NPI# 1033641006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033641006 |
| Entity Type | Individual |
| Full Name | MR. SHELLIE LINDBERGH RANKIN JR. |
| Practice Address |
1402 Newby Rd Portsmouth VA 23701-3130 |
| Practice Telephone | 7573493451 |
| Mailing Telephone | 7573493451 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1402 NEWBY RD |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23701-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412127 | Markeita Murphy | Community/Behavioral Health | 1402 Newby Rd, Portsmouth, VA 23701-3130 | 2017-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1487110847 | Corey Jamal Lott | Durable Medical Equipment & Medical Supplies | 1604 Cavalier Blvd, Pontamouth, VA 23701 | 2019-02-11 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574837 | Seacoast Pathways | Community/Behavioral Health | 155 Brewery Ln Ste 102, Portsmouth, NH 03801-4995 | 2020-10-01 |
| 1710599873 | Tinas Love and Care Inc | Community/Behavioral Health | 165 Choate St, Portsmouth, VA 23707-4567 | 2020-08-20 |
| 1508488305 | Island Light Psychotherapy, LLC | Community/Behavioral Health | 11 King Charles Dr Ste A, Portsmouth, RI 02871-1364 | 2020-05-14 |
| 1164918496 | Camp Loud and Services | Community/Behavioral Health | 3280 Academy Ave, Portsmouth, VA 23703-3203 | 2018-07-10 |
| 1336654854 | Phoenix Group Home | Community/Behavioral Health | 303 Offnere St, Portsmouth, OH 45662-4655 | 2017-12-06 |
| 1790208296 | Stepless Ladders LLC | Community/Behavioral Health | 1521 Wilcox Ave, Portsmouth, VA 23704-6814 | 2017-07-18 |
| 1760832505 | Granite Pathways | Community/Behavioral Health | 865 Islington St, Portsmouth, NH 03801-4229 | 2016-06-13 |
| 1003265109 | Synergy Health Systems | Community/Behavioral Health | 1602 Cavalier Blvd, Portsmouth, VA 23701-3808 | 2016-06-09 |
| 1033571005 | Connecting Communities, LLC | Community/Behavioral Health | 309 County St Ste 203, Portsmouth, VA 23704-3701 | 2016-03-28 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23701 |
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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.