MRS. MARY NOTTINGHAM


Address: 1119 2nd St Sw, Roanoke, VA 24016-4710
Phone: 5409811246

MRS. MARY NOTTINGHAM (NPI# 1073856811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073856811
Entity Type Individual
Full Name MRS. MARY NOTTINGHAM
Credential N.P.
Practice Address 1119 2nd St Sw
Roanoke
VA 24016-4710
Practice Telephone 5409811246
Mailing Telephone 5409811246
Enumeration Date 2013-03-30
Last Update Date 2013-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
0024060051 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1119 2ND ST SW
City ROANOKE
State VA
Zip Code 24016-4710

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1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1679086656 Holly Borkert Nurse Practitioner 3925 Shannon Rd, Portsmouth, VA 23703-2119 2017-11-13
1235641325 Katya Simon Nurse Practitioner 8303 Arlington Blvd Ste 209, Fairfax, VA 22031-2903 2017-10-29
1205253580 Bethanie Lynn Nice Nurse Practitioner 824 Greenbrier Pkwy Ste 100, Chesapeake, VA 23320 2014-03-24
1134465693 Renee Olexy Nurse Practitioner 844 Battlefield Blvd N Ste 100, Chesapeake, VA 23320-4802 2013-01-02
1821327024 Jennifer Connelly Reilly Nurse Practitioner 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 2009-12-17
1215137369 Phyllis Adams Mathews Nurse Practitioner 724. South Mason St., Harrisonburg, VA 22807 2007-07-18
1801923057 Joni Teresa White Nurse Practitioner 23191 Front St. Accomack County Health Dept., Accomac, VA 23301 2007-02-27
1336285709 Terry Marie Mcguirk Nurse Practitioner 1009 Seville Dr, Chesapeake, VA 23322-8027 2007-01-30
1548364912 Judith Christian Nurse Practitioner 2964 Hydraulic Road, Charlottesville, VA 22901-8902 2006-09-07
1558465922 Sybil A Bradley-dallas Nurse Practitioner 2138 Langhorne Square, Lynchburg, VA 24501 2006-09-07
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Competitor

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City ROANOKE
Zip Code 24016

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Dataset Information

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.

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