MARY HERBERT (NPI# 1235612649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235612649 |
| Entity Type | Individual |
| Full Name | MARY HERBERT |
| Other Name | KATY HERBERT |
| Credential | PA |
| Practice Address |
119 Tradewynd Dr Ste A Lynchburg VA 24502-5288 |
| Mailing Address |
201 Millspring Dr Forest VA 24551-2328 |
| Practice Telephone | 4342373376 |
| Mailing Telephone | 4344261854 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265856298 | Mary Rebecca Herbert | Nurse Practitioner | 9201 E Mountain View Rd, Scottsdale, AZ 85258-5199 | 2014-02-11 |
| 1790947182 | Mary Onita Herbert | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2008-06-27 |
| 1619156486 | Mary Jacqueline Herbert | Nurse Anesthetist, Certified Registered | 1800 Mulberry St, Scranton, PA 18510-2369 | 2007-10-30 |
| 1275653792 | Mary Elizabeth Herbert | Dietitian, Registered | 41 Highland Ave, Winchester, MA 01890-1446 | 2007-03-29 |
| Street Address |
119 TRADEWYND DR STE A |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336697093 | Seven Hills Dermatology, LLC | Dermatology | 119 Tradewynd Dr Ste A, Lynchburg, VA 24502-5288 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631520 | Matthew Truitte | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-05-19 |
| 1679105613 | Monica Ricci | Physician Assistant | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2020-02-07 |
| 1962062109 | Taylor Grasser | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-19 |
| 1376053660 | Taylor Covington Lavery | Physician Assistant | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2017-10-02 |
| 1235648098 | Emily Gabel | Physician Assistant | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2017-09-25 |
| 1558882381 | Antoinette Theodore | Physician Assistant | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2017-07-01 |
| 1841614088 | Shannon Bishop | Physician Assistant | 2323 Memorial Ave, Lynchburg, VA 24501-2661 | 2014-02-07 |
| 1508120767 | Seth Elijah Jones | Physician Assistant | 20304 Timberlake Rd, Lynchburg, VA 24502-7222 | 2012-07-02 |
| 1316222755 | Lloyd Henry Walker | Physician Assistant | 2600 Memorial Ave, Suite 201 B, Lynchburg, VA 24501-2662 | 2011-10-17 |
| 1013205723 | Paul Edward Foster | Physician Assistant | 2137 Lakeside Dr, Ste 100, Lynchburg, VA 24501-6806 | 2011-07-14 |
| Find all providers in LYNCHBURG | ||||
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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.