JIMMY WAYNE SPELTS


Address: 29 Fairway Dr, Portsmouth, VA 23701-1655
Phone: 7574127840

JIMMY WAYNE SPELTS (NPI# 1104423946) 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) 1104423946
Entity Type Individual
Full Name JIMMY WAYNE SPELTS
Credential RN
Practice Address 29 Fairway Dr
Portsmouth
VA 23701-1655
Practice Telephone 7574127840
Mailing Telephone 7574127840
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WA2000X Registered Nurse
Specialization: Administrator
0001162467 VA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNKNOWN UNKNOWN 01

Office Location

Street Address 29 FAIRWAY DR
City PORTSMOUTH
State VA
Zip Code 23701-1655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437792959 Roz & James,llc Home Health 4397 Portsmouth Blvd, Portsmouth, VA 23701 2019-10-28
1487110847 Corey Jamal Lott Durable Medical Equipment & Medical Supplies 1604 Cavalier Blvd, Pontamouth, VA 23701 2019-02-11
1063931558 Diadem Doyenne, LLC Prosthetist 6515 Portsmouth Blvd, Portsmouth, VA 23701 2017-09-15
1629474044 Cold Hands Warm Heart Home Health Care LLC Custodial Care Facility 504 Cherokee Rd Apt E, Portsmouth, VA 23701 2014-11-12
1770846800 Turning Points Residential Care, LLC Exclusive Provider Organization 23 Carver Circle, Portsmouth, VA 23701 2012-06-22
1326242215 Thomas Michael Kaptur Military Health Care Provider Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 2007-06-13
1841494051 Vlad Vasile Stanila Specialist 680 John Paul Jones Circ, Fpo, AP 23701 2007-06-12
1134295512 Stephen Mark Goldstein Dentist 6263 Portsmouth Bld, Portsmouth, VA 23701 2006-11-28
1275620866 Kool Smiles Van, PC Dentist 4072 Victory Blvd., Portsmouth, VA 23701 2006-10-06
1437160546 Regina Denise Davis Family Medicine 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 2006-08-11
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Taxonomy Information

Taxonomy Code 163WA2000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Administrator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902866411 Robert Dean Fetherston Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2006-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437637303 Frankye T. Tarmiko Myers Registered Nurse 8819 First Branch Ln, Chesterfield, VA 23838-5605 2018-08-02
1205313129 Albertine Tubman Registered Nurse 778 Balls Bluff Rd Ne, Leesburg, VA 20176-4900 2018-07-24
1689163271 Horizon Healthcare Professionals, LLC Registered Nurse 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 2018-05-09
1053830208 Ebony Feliz Registered Nurse 1545 Crossways Blvd., Suite 250, Chesapeake, VA 23320 2017-09-19
1518368802 Annette King-miles Registered Nurse 450 Rosemary Ln, Danville, VA 24541-4528 2014-09-05
1861825267 Leyish Minie Registered Nurse 9051 Tiffany Park Ct, Springfield, VA 22152-2160 2013-08-21
1932388501 Beverly Jean Bethea Registered Nurse 4272 Berkley Ct, King George, VA 22485-5648 2007-10-30
1811193931 Corliss Voncille Booker Registered Nurse 14101 Lyndhurst Dr, Chester, VA 23831-8804 2007-06-25
1730261413 Ynez Ann Coleman Registered Nurse 1607 Planters Rd, Lawrenceville, VA 23868-3350 2006-10-20
1740233618 Julia Ann Mckinnis Registered Nurse 1320 Piney Forest Rd, Danville, VA 24540-1606 2006-05-19
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Competitor

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City PORTSMOUTH
Zip Code 23701

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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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