TRACY J CHEATHAM (NPI# 1134157944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134157944 |
| Entity Type | Individual |
| Full Name | TRACY J CHEATHAM |
| Other Name | TRACY JONES LANGEBECK |
| Credential | FNP-BC |
| Practice Address |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 |
| Practice Telephone | 4342634000 |
| Practice Fax Number | 4342634160 |
| Mailing Telephone | 4342634000 |
| Mailing Fax Number | 4342634160 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024166184 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4038 THOMAS NELSON HWY |
| City | ARRINGTON |
| State | VA |
| Zip Code | 22922-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595666 | Rebecca B Young | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2005-11-18 |
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1114574100 | Kelley Marie Mayberry | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-08-23 |
| 1104489111 | Michelle Rae Blair | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-04-16 |
| 1386121531 | Danielle Petrosky Free | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-07-20 |
| 1942795307 | Richard Dixon Sykes | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-06-28 |
| 1538666912 | Kathryn Leslee Phillips | Dietitian, Registered | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-04-11 |
| 1770091787 | Marianne Teresa Russell | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-01-12 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1730559329 | Blue Ridge Medical Center | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2015-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580922 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-08-01 |
| 1144389818 | Julie S Setliff | Pharmacist | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-12-08 |
| 1215915814 | Benjamin Timothy Brown | Family Medicine | 4038 Thomas Nelson Hwy., Blue Ridge Health Center, Inc., Arrington, VA 22922-2302 | 2006-01-04 |
| 1346755162 | April Aldridge | Speech-Language Pathologist | 5198 Thomas Nelson Hwy, Arrington, VA 22922-2637 | 2017-12-04 |
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948079 | Alissa Levine Wong | Nurse Practitioner | 8301 Arlington Blvd Ste 100, Fairfax, VA 22031-2902 | 2020-10-06 |
| 1912514209 | Kala Rutherford Stapleton | Nurse Practitioner | 1800 Combs Rd Ste 12, Pennington Gap, VA 24277-1808 | 2020-09-30 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1093327876 | Jasmine Jones | Nurse Practitioner | 2828 Candlewood Cir, Chesapeake, VA 23324-3936 | 2020-08-21 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1952935777 | Janice Oh | Nurse Practitioner | 7700 Little River Tpke Ste 102, Annandale, VA 22003-2400 | 2020-03-02 |
| 1003449448 | Yasmine M Kletter | Nurse Practitioner | 15213 Addison Ln, Woodbridge, VA 22193-6223 | 2020-02-13 |
| 1770113763 | Amy Armstead | Nurse Practitioner | 620 Keswick Rd, Colonial Heights, VA 23834-1729 | 2020-01-19 |
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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.