DEXTER SHABAZZ LETT (NPI# 1245756964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245756964 |
| Entity Type | Individual |
| Full Name | DEXTER SHABAZZ LETT |
| Practice Address |
10543 S. Crater Rd S. Prince George VA 23805 |
| Mailing Address |
10543 S Crater Rd South Prince George VA 23805-7333 |
| Practice Telephone | (804) 431-5585 |
| Practice Fax Number | 8044315820 |
| Mailing Telephone | 8044315585 |
| Mailing Fax Number | 8044315820 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 0001228602 | VA | Nursing Service Providers |
| Street Address |
10543 S. CRATER RD |
| City | S. PRINCE GEORGE |
| State | VA |
| Zip Code | 23805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 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 |
| 1366683567 | Family Hearing Aid Cntr. | Hearing Instrument Specialist | 1936 S. Sycamore St., Petersburg, VA 23805 | 2009-03-18 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1083215032 | Sheree D Long | Registered Nurse | 503 High Ridge Ct, Chesapeake, VA 23322-1283 | 2020-11-05 |
| 1679172928 | Heather Allison | Registered Nurse | 8257 The Midway, Annandale, VA 22003-3716 | 2020-10-19 |
| 1649877697 | Sara Elaine Stein | Registered Nurse | 8800 Shewsbury Dr, New Kent, VA 23124-2825 | 2020-10-02 |
| 1538776067 | Adls 4 U Home Care LLC | Registered Nurse | 903 W Atlantic St, South Hill, VA 23970-1826 | 2020-09-29 |
| 1992312672 | David Patterson | Registered Nurse | 8892 Bond Ct, Manassas, VA 20110-4327 | 2020-09-28 |
| 1487260832 | Stephanie Michelle East | Registered Nurse | 411 Quail Hollow Dr, Forest, VA 24551-1029 | 2020-09-21 |
| 1194330407 | Miranda Lauren Crabtree | Registered Nurse | 233 Docktree Dr, Pennington Gap, VA 24277-7907 | 2020-09-14 |
| 1245845395 | Donna Marie Shaffer | Registered Nurse | 6214 Secret Hollow Ln, Centreville, VA 20120-1123 | 2020-09-14 |
| 1881208882 | Martha Jean Illies | Registered Nurse | 8496 Silverview Ct, Lorton, VA 22079-4404 | 2020-09-07 |
| 1619581436 | Samuel Modupeh Thorpe | Registered Nurse | 8423 Colfax Dr, King George, VA 22485-7162 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | S. 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.