JORDAN FAITH DAMIANO (NPI# 1093229353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093229353 |
| Entity Type | Individual |
| Full Name | JORDAN FAITH DAMIANO |
| Credential | NP |
| Practice Address |
1300 Mactavish Ave Richmond VA 23230-4633 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 8049775900 |
| Mailing Telephone | 7573165800 |
| Mailing Fax Number | 7575345190 |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024175038 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770111973 | Jordan Nikole Damiano | Student in an Organized Health Care Education/Training Program | 10510 Jefferson Ave Ste D, Newport News, VA 23601-3102 | 2020-04-01 |
| Street Address |
1300 MACTAVISH AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-4633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497994594 | Riverside Healthcare Services | Pharmacy | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2009-02-12 |
| 1124512637 | Innovage Virginia Pace II, LLC | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2018-06-18 |
| 1841684867 | Tiffany Pajic | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2015-03-27 |
| 1871886655 | Riverside Retirement Services, Inc. | PACE Provider Organization | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-26 |
| 1780977538 | Richmond Area Compassionate Care Pharmacy | Pharmacy | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4633 | 2011-05-25 |
| 1932491073 | Mary K. Branzelle | Nurse Practitioner | 1300 Mactavish Ave, Richmond, VA 23230-4633 | 2011-05-09 |
| 1104117134 | Ronald Alfred Gregory | Pharmacist | 1300 Mactavish Ave, Suite A, Richmond, VA 23230-4616 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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|---|---|---|---|---|
| 1952908519 | Demia Houston Louis | Nurse Practitioner | 19722 Norfolk Ridge Way, Richmond, TX 77407-7124 | 2020-10-07 |
| 1134726284 | Tara Hart | Nurse Practitioner | 521 Lancaster Ave # 223, Richmond, KY 40475-3102 | 2020-10-01 |
| 1689280372 | Chinyere Onyemaechi Adiuku | Nurse Practitioner | Chinyere Adiuku, 17831 Planters Path Lane, Richmond, TX 77407-7740 | 2020-09-18 |
| 1598379596 | Rebecca Pfeifer-rosenblum | Nurse Practitioner | 5939 Sutter Ave, Richmond, CA 94804-5260 | 2020-09-07 |
| 1578176970 | Grace Pulliam Gilmore | Nurse Practitioner | 29 Malvern Ave Apt 5, Richmond, VA 23221-2666 | 2020-08-25 |
| 1891306429 | Caroline Njuguna | Nurse Practitioner | 7210 Still Haven Dr, Richmond, TX 77407-7131 | 2020-08-17 |
| 1720699143 | Rukayat Omolara Yusuf | Nurse Practitioner | 8506 Heather Maple Ct, Richmond, TX 77407-2476 | 2020-08-10 |
| 1457969859 | Richmond Medical Group Inc | Nurse Practitioner | 1407 Mustang Lake Ct, Richmond, TX 77406-7961 | 2020-07-21 |
| 1093332744 | Patience I Nehikhuere | Nurse Practitioner | 7519 Misty Meadow Ct, Richmond, TX 77469-7322 | 2020-06-29 |
| 1275150252 | Ngozi Mba | Nurse Practitioner | 11335 Sandhaven Dr, Richmond, TX 77407-4534 | 2020-06-25 |
| Find all providers in RICHMOND | ||||
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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.