JENNIFER M STALEY (NPI# 1053864918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053864918 |
| Entity Type | Individual |
| Full Name | JENNIFER M STALEY |
| Credential | FNP |
| Practice Address |
8180 Stonewall Shops Sq Gainesville VA 20155-3891 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7037539799 |
| Practice Fax Number | 7037539792 |
| Mailing Telephone | 9195381712 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024173774 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024173774 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902460173 | Jennifer Staley | Nurse Practitioner | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-04-23 |
| Street Address |
8180 STONEWALL SHOPS SQ |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752604 | Steven J Tang | Family Medicine | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2005-07-01 |
| 1386113835 | Nmg Affiliate Practice I, LLC | Pediatrics | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2018-11-14 |
| 1639654452 | Christy Elizabeth Maxwell | Nurse Practitioner | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2018-09-27 |
| 1609386556 | Nmg Affiliate Practice I, LLC | Family Medicine | 8180 Stonewall Shops Sq, Gainesville, VA 20155 | 2017-10-05 |
| 1346201126 | Anastasia L Williams | Pediatrics | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2006-03-31 |
| 1336130590 | Victoria C Hammonds | Family Medicine | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1801412242 | Candace K Hall | Nurse Practitioner | 6810 Mandalay Ct, Gainesville, VA 20155-4493 | 2020-06-22 |
| 1164072591 | Mary Katherine Bridges | Nurse Practitioner | 316 Foothills Pkwy Ne, Gainesville, GA 30501-3839 | 2019-09-17 |
| 1124676622 | Desislava Cooper | Nurse Practitioner | 1143 Nw 89th Dr, Gainesville, FL 32606-7116 | 2019-08-28 |
| 1053883223 | Lisa Annette Wisemen | Nurse Practitioner | 3611 Sw 34th St Apt 46, Gainesville, FL 32608-2577 | 2018-12-27 |
| 1235600362 | Marie Lyse Dufresne-dixon | Nurse Practitioner | 1515 Sw Archer Rd Apt C27, Gainesville, FL 32608-1134 | 2018-12-16 |
| 1427551506 | Melinda Holder Phillips | Nurse Practitioner | 1600sw Archer Rd, Gainesville, FL 32610-0001 | 2018-03-14 |
| 1669992921 | Amanda Kaye Elizabeth Croft | Nurse Practitioner | Po Box 100186, Gainesville, FL 32610-0186 | 2017-06-27 |
| 1033642210 | Dironada Gross Strange | Nurse Practitioner | Po Box 100108, Gainesville, FL 32610-0001 | 2017-04-05 |
| 1124565031 | Shannon Eileen Katilus Makovic | Nurse Practitioner | Department of Pediatrics Neonatology, Box 100296, Gainesville, FL 32610-0296 | 2017-01-30 |
| 1770997306 | Jordan Knowlton | Nurse Practitioner | 1600 Sw Archer Rd # 100371, Gainesville, FL 32610-3003 | 2014-06-11 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.