RIVERSIDE HOSPITAL INC (NPI# 1053894386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053894386 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE HOSPITAL INC |
| Practice Address |
2244 Executive Dr Hampton VA 23666-2430 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7578271001 |
| Practice Fax Number | 7578273128 |
| Mailing Telephone | 7573165800 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | BRADEN MILLER (CFO) |
| Authorized Official Telephone | 7573165800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Riverside Behavioral Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045535 | Riverside Hospital Inc | Hospice Care, Community Based | 12420 Warwick Blvd, Ste 7d, Newport News, VA 23606-3055 | 2005-07-01 |
| 1801891023 | Riverside Hospital Inc | Home Health | 856 J Clyde Morris Blvd, Ste C, Newport News, VA 23601-1318 | 2005-06-15 |
| 1649509282 | Riverside Hospital Inc | Ambulance | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2009-12-10 |
| 1366547747 | Riverside Hospital Inc | General Acute Care Hospital | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2006-09-13 |
| 1811910102 | Riverside Hospital Inc | Pediatrics | 10510 Jefferson Ave, Suite E, Newport News, VA 23601-3102 | 2006-07-26 |
| 1225059991 | Riverside Hospital Inc | Obstetrics & Gynecology | 10510 Jefferson Ave, Suite D, Newport News, VA 23601-3102 | 2006-07-21 |
| 1033130687 | Riverside Hospital Inc | Internal Medicine | 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606-3001 | 2006-07-21 |
| 1245256908 | Riverside Hospital Inc | Family Medicine | 10510 Jefferson Ave, Suites A, Newport News, VA 23601-3102 | 2006-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | RIVERSIDE HOSPITAL INC. | 500 J Clyde Morris Blvd, Newport News, Virginia 23601 |
| Street Address |
2244 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
| 1134736929 | Tasha Washington | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-09-26 |
| 1518576297 | Omari Peterkin | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-07-28 |
| 1093339574 | Jonathan Greer Cawthon | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-06-01 |
| 1346873171 | Glory Mbong-ngwa | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-20 |
| 1134751530 | Candace Bynum Lankford | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-04 |
| 1679132369 | Cheree Latai Faison | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-06-06 |
| 1881158855 | Erin M Holland | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-01-24 |
| 1851871529 | Abrian Nicole Wiggins | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-08-21 |
| 1396225058 | Mavis Gaskins Rowe | Social Worker | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123107 | Jessica Lynn Gray I | Social Worker | 77 Wall St, Hampton, GA 30228-2000 | 2020-04-17 |
| 1649807132 | Brandee Parker | Social Worker | 260 Marcella Rd Apt 1014, Hampton, VA 23666-2591 | 2020-03-24 |
| 1346875036 | Jalanda Monannique Jordan | Social Worker | 604 Burtons Cv, Hampton, GA 30228-3182 | 2020-03-03 |
| 1861025645 | Patti Jo Hammonds-greene | Social Worker | 11514 Summer Trce, Hampton, GA 30228-2694 | 2020-02-19 |
| 1780221242 | Mylira Jervette Green | Social Worker | 2019 Cunningham Dr Ste 412, Hampton, VA 23666-3318 | 2019-12-04 |
| 1598300857 | Lisa Marie Martin | Social Worker | 1720 N King St, Hampton, VA 23669-1910 | 2019-11-11 |
| 1013559418 | Carin Danielle Hamilton | Social Worker | 2019 Cunningham Dr Ste 301, Hampton, VA 23666-3318 | 2019-10-17 |
| 1326696972 | Shonda Mcfield | Social Worker | 4 Valor Pl, Hampton, VA 23669-2887 | 2019-08-27 |
| 1649740572 | Leap Therapeutic Services | Social Worker | 2110 Hartford Rd Ste B, Hampton, VA 23666-6600 | 2018-12-04 |
| 1528537271 | Jamicia Lanece Davis | Social Worker | 1706 Todds Ln, Hampton, VA 23666-3123 | 2018-11-23 |
| Find all providers in HAMPTON | ||||
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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.