MS. KELLEY WIDEL VITOLO (NPI# 1043845712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043845712 |
| Entity Type | Individual |
| Full Name | MS. KELLEY WIDEL VITOLO |
| Credential | CSFA |
| Practice Address |
3411 Londonderry Ct Roanoke VA 24018-5059 |
| Practice Telephone | 3363279175 |
| Mailing Telephone | 3363279175 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
VA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3411 LONDONDERRY CT |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594393 | Casteen Surgical Assisting | Specialist/Technologist, Other | 1630 Wilkes Ridge Pkwy Ste 101, Richmond, VA 23233-7410 | 2020-10-07 |
| 1316563786 | Aquiles Salvador Martinez Hernandez | Specialist/Technologist, Other | 691 National Ave, Winchester, VA 22601-5566 | 2020-06-22 |
| 1588297675 | Reiko Adele Casteen | Specialist/Technologist, Other | 4801 Kipper Dr, Moseley, VA 23120-2221 | 2020-02-17 |
| 1013556414 | Jose Andino | Specialist/Technologist, Other | 7 Kettering Ln, Hampton, VA 23666-1475 | 2020-01-02 |
| 1720625080 | Jackson Ariel Moscoso | Specialist/Technologist, Other | 3127 Plantation Pkwy, Fairfax, VA 22030-2117 | 2019-12-05 |
| 1811549942 | Charles F Hughes Jr. | Specialist/Technologist, Other | 3604 Muirfield Green Pl, Midlothian, VA 23112-4529 | 2019-07-09 |
| 1407311384 | Surgical Hands On,llc | Specialist/Technologist, Other | 7028 Pine Orchard Ct, Chesterfield, VA 23832-6665 | 2019-02-05 |
| 1295205284 | Sydney Erin Kilian | Specialist/Technologist, Other | 1633 New Land Rd, Chesapeake, VA 23322-1397 | 2018-12-03 |
| 1245705565 | Abhishek Mohan | Specialist/Technologist, Other | 1509 Mirassou Ln, Virginia Beach, VA 23454-1375 | 2018-10-13 |
| 1861972838 | Salem Gracee Ramirez | Specialist/Technologist, Other | 117 N 21st St Apt 8, Purcellville, VA 20132-5601 | 2018-08-18 |
| Find all providers with the same taxonomy | ||||
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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.