ELIZABETH INEZ PRUITT (NPI# 1184821696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184821696 |
| Entity Type | Individual |
| Full Name | ELIZABETH INEZ PRUITT |
| Credential | PA |
| Practice Address |
16186 Main Ridge Road Tangier VA 23440 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 7578912412 |
| Practice Fax Number | 7578912493 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110002506 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566080 | Elizabeth Pruitt | Counselor | 5902 Buncombe Rd, Shreveport, LA 71129 | 2016-09-19 |
| 1144460957 | Elizabeth Pruitt | Speech-Language Pathologist | 150 Point O'woods Rd., Willliamsburg, VA 23188-7052 | 2009-03-06 |
| Street Address |
16186 MAIN RIDGE ROAD |
| City | TANGIER |
| State | VA |
| Zip Code | 23440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740368679 | Richard Frederick Crowder | Internal Medicine | 16186 Main Ridge Road, Tangier, VA 23440 | 2006-11-01 |
| 1578716981 | Riverside Physician Services Inc | Internal Medicine | 16186 Main Ridge Road, Tangier, VA 23440 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500883 | Tangier Volunteer Fire Department Inc. | Ambulance | 16344 Main Ridge Rd, Tangier, VA 23440-0239 | 2018-03-06 |
| 1134430481 | Eastern Shore Rural Health System Incorporated | Clinic/Center | Main Street, Tangier Island, VA 23440-3300 | 2010-07-01 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
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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.