NAK-SHA FOSTER (NPI# 1205323235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205323235 |
| Entity Type | Individual |
| Full Name | NAK-SHA FOSTER |
| Practice Address |
10543 S Crater Rd South Prince George VA 23805-7333 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 8044315585 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0002086732 | VA | Nursing Service Providers |
| Street Address |
10543 S CRATER RD |
| City | SOUTH PRINCE GEORGE |
| State | VA |
| Zip Code | 23805-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699218669 | Crossroads Treatment Center of Petersburg, PC | Community/Behavioral Health | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2016-11-23 |
| 1841897832 | Bradley Daniel Demery | Registered Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-10-03 |
| 1215541321 | Brooke M Graves | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-09-04 |
| 1427669415 | Roxy T. Crawford | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-08-12 |
| 1699385385 | Cheryl Edwards Ponton | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-08-06 |
| 1942832662 | Adrian Denise Clark | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-02-11 |
| 1669018875 | Charlisa Rhodes | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-11-22 |
| 1245882273 | Charlise Teresa Jones | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-07-10 |
| 1477012193 | Lashonda Charles | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-03-13 |
| 1154888220 | Valerie Deloris Graves | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-02-26 |
| Find all providers in the same location | ||||
| 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 | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832662 | Adrian Denise Clark | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-02-11 |
| 1669018875 | Charlisa Rhodes | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-11-22 |
| 1477012193 | Lashonda Charles | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-03-13 |
| 1154888220 | Valerie Deloris Graves | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-02-26 |
| 1124515226 | Ashley Chambliss | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2018-04-16 |
| 1427589340 | Otelia Bryant | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891595 | Vycki J Midgette | Licensed Practical Nurse | 26444 Gladding Rd, Mears, VA 23409-2304 | 2020-11-07 |
| 1457959827 | Stella Nancy Morgan-bendu | Licensed Practical Nurse | 5568 General Washington Dr Ste A201, Alexandria, VA 22312-2465 | 2020-10-16 |
| 1992312953 | Ruth Ann Stephens | Licensed Practical Nurse | 128 Parrott St, Danville, VA 24540-2610 | 2020-09-24 |
| 1669085486 | Richarda Fields | Licensed Practical Nurse | 1013 Kenelm Ct, Virginia Beach, VA 23464-8845 | 2020-08-31 |
| 1922611078 | Edwin Charles Khonyongwa | Licensed Practical Nurse | 7829 Dolleys Ct, King George, VA 22485-7085 | 2020-08-28 |
| 1841800471 | Zainab Jalloh | Licensed Practical Nurse | 1384 Old Bridge Rd Ste 200-b, Woodbridge, VA 22192-2769 | 2020-08-07 |
| 1528678919 | Unique Health Services | Licensed Practical Nurse | 13945 Hollow Wind Way Unit 101, Woodbridge, VA 22191-6057 | 2020-07-31 |
| 1407465180 | There's No Place Like Home Health Agency | Licensed Practical Nurse | 7274 Hanover Green Dr., Mechanicsville, VA 23111-1797 | 2020-07-28 |
| 1821616723 | Sherita Johnson | Licensed Practical Nurse | 3411 Castlebury Dr, Chester, VA 23831-1860 | 2020-07-08 |
| 1639790462 | Bandetra Oglesby-confron | Licensed Practical Nurse | 300 Continental Pkwy Apt 302, Newport News, VA 23602-4542 | 2020-05-04 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PRINCE GEORGE |
| Zip Code | 23805 |
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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.