MRS. MONTERRY SHATRAE LEE (NPI# 1174137988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174137988 |
| Entity Type | Individual |
| Full Name | MRS. MONTERRY SHATRAE LEE |
| Practice Address |
5 Holly Hill Dr Petersburg VA 23805-2559 |
| Mailing Address |
542 Lock Ln Petersburg VA 23805-2543 |
| Practice Telephone | 8046051566 |
| Practice Fax Number | 8048359678 |
| Mailing Telephone | 8046051566 |
| Mailing Fax Number | 8048359678 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1201110397 | VA | Other Service Providers |
| Street Address |
5 HOLLY HILL DR |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558395939 | Tamara Charity-brown | Pediatrics | 5 Holly Hill Dr, Petersburg, VA 23805 | 2006-07-10 |
| 1891714911 | Pediatric Associates of Petersburg Plc | Pediatrics | 5 Holly Hill Dr, Petersburg, VA 23805-2559 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598268062 | Beverly Ann Strayhan | Specialist | 2793 S Crater Rd Ste F, Petersburg, VA 23805-2472 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507369 | Marquarite Motton | Specialist | 2621 Princess Anne St # A, Fredericksburg, VA 22401-3255 | 2020-10-27 |
| 1508479072 | Latarsha Nicole Johnson | Specialist | 10084 Midlothian Tpke, North Chesterfield, VA 23235-4800 | 2020-08-25 |
| 1942823141 | Tia Nicole Skinner | Specialist | 5347 Lila Ln, Virginia Beach, VA 23464-6783 | 2020-05-21 |
| 1346862042 | Exquisite Beauty Industries, LLC | Specialist | 4206 Indian River Rd, Chesapeake, VA 23325-3006 | 2020-05-15 |
| 1124654389 | Hair Cares Inc | Specialist | 2801 Jolly Ln, Chester, VA 23831-5123 | 2020-03-19 |
| 1497392542 | Cindy Wells | Specialist | 604 Aberdeen Rd, Hampton, VA 23661-1844 | 2019-12-09 |
| 1093360349 | Whitney Whitlock | Specialist | 10400 Chester Rd, Chester, VA 23831-1201 | 2019-08-05 |
| 1215599576 | Rhonda Lynette Johnson | Specialist | 12108 Bermuda Crossroad Ln Ste 21, Chester, VA 23831-2452 | 2019-07-07 |
| 1073173696 | Tatianna Canady | Specialist | 571 Onancock Trl, Newport News, VA 23602-4367 | 2019-06-17 |
| 1558924696 | Daviece Nickee Clement | Specialist | 0 E 4th St Ste 14b, Richmond, VA 23224-4202 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on MRS. MONTERRY SHATRAE LEE.
| 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.