LAURA BUENNEMEYER (NPI# 1164930046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164930046 |
Entity Type | Individual |
Full Name | LAURA BUENNEMEYER |
Credential | PA-C |
Practice Address |
3716 Melrose Ave Nw Roanoke VA 24017 |
Mailing Address |
3716 Melrose Ave Nw Roanoke VA 24017-2716 |
Practice Telephone | 5403620360 |
Enumeration Date | 2018-01-13 |
Last Update Date | 2019-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-07801 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4647 Fairview Dr Apt 100, Wilmington, NC 284123680 | 5402306141 |
Street Address |
3716 MELROSE AVE NW |
City | ROANOKE |
State | VA |
Zip Code | 24017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558369827 | Victor H Bell | Family Medicine | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2005-07-12 |
1245879642 | Kylie Ann Tangney | Pediatrics | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2020-01-02 |
1457996761 | Sabrina L Royall | Nurse Practitioner | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-11-11 |
1164084596 | Arti Patel | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-07-05 |
1720549769 | Nader Douglas Burpee | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2019-03-30 |
1568976629 | Markeia Chenise Young | Counselor | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2017-11-28 |
1982124954 | Matthew Carl Hofrichter | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2017-06-21 |
1982132965 | Steven Matthew Woodard | Dentist | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2017-06-02 |
1881122414 | Jessica Renee Dent | Counselor | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2017-05-26 |
1063943934 | Patricia Taylor Dell | Family Medicine | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2017-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
Find all providers in zip 24017 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144796749 | Rebecca Marie Swanson | Physician Assistant | 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 | 2018-10-22 |
1154475267 | Wilton Craig Kennedy | Physician Assistant | 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | 2007-01-23 |
1760567481 | Jason Eric Bailey | Physician Assistant | 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 | 2006-10-25 |
1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
1225099773 | Lucia Maria Kulhavy | Physician Assistant | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2006-03-31 |
1386613164 | Sharon Anne Crookshanks | Physician Assistant | 4461 Starkey Rd Ste 201, Roanoke, VA 24018 | 2006-03-15 |
1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
1275197980 | Rashadah Jordan | Physician Assistant | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2019-04-29 |
1629561402 | Emily Marquina | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-06-07 |
1104288679 | David Shrock | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-03-24 |
Find all providers in ROANOKE |
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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.