MS. MARY ANN KEARLEY (NPI# 1215002290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215002290 |
Entity Type | Individual |
Full Name | MS. MARY ANN KEARLEY |
Credential | A.P.R.N. |
Practice Address |
6465 College Park Sq Suite 210 Virginia Beach VA 23464-3609 |
Practice Telephone | 7574200530 |
Practice Fax Number | 7574200488 |
Mailing Telephone | 7574200530 |
Mailing Fax Number | 7574200488 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2015-02-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
0701001342 | VA | Behavioral Health & Social Service Providers |
Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
0015000183 | VA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 010060389 | 05 |
Street Address |
6465 COLLEGE PARK SQ SUITE 210 |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23464-3609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356700116 | Advocare In-home Care | In Home Supportive Care | 6465 College Park Sq, Suite 304, Virginia Beach, VA 23464-3609 | 2016-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
Find all providers in zip 23464 |
Taxonomy Code | 364SC1501X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Community Health/Public Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184009375 | Lia Maria Anderson | Clinical Nurse Specialist | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060-5285 | 2015-07-29 |
1023018397 | Mary Beth Rank | Clinical Nurse Specialist | 800 Oak St, Farmville, VA 23901-1199 | 2005-07-28 |
City | VIRGINIA BEACH |
Zip Code | 23464 |
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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.