MRS. FAFA ISABEL NYIRENDA (NPI# 1255565750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255565750 |
| Entity Type | Individual |
| Full Name | MRS. FAFA ISABEL NYIRENDA |
| Other Name | FAFA ISABEL TETTEH |
| Practice Address |
2035 Waterside Rd Suite 105 Prince George VA 23875-1265 |
| Practice Telephone | 9014913101 |
| Mailing Telephone | 9014913101 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101252178 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2035 WATERSIDE RD SUITE 105 |
| City | PRINCE GEORGE |
| State | VA |
| Zip Code | 23875-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110453 | Melaney A Caldwell | Pediatrics | 2035 Waterside Rd, Suite 105, Prince George, VA 23875-1265 | 2005-11-07 |
| 1801345988 | Caldwell Pediatrics and Wellness Center | Skilled Nursing Facility | 2035 Waterside Rd, Suite 105, Prince George, VA 23875-1265 | 2016-09-29 |
| 1447611868 | Theresa Mccormack | Nurse Practitioner | 2035 Waterside Rd, Suite 105, Prince George, VA 23875-1265 | 2016-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1053815423 | Yolanda Larrette Hoag | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875 | 2018-03-21 |
| 1932534864 | Foundation for Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4301 Montreal Ave., Prince George, VA 23875 | 2013-09-11 |
| 1073889697 | Jemina M Liverman | Nurse Practitioner | 4260 Crossing Blvd, Prince George, VA 23875 | 2012-03-28 |
| 1245412717 | Prince George County Public Schools | Local Education Agency (LEA) | 6410 Courts Drive, Prince George, VA 23875 | 2007-11-27 |
| 1952330193 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 6459 Administration Dr., Prince George, VA 23875 | 2006-07-01 |
| 1598173155 | Divine Spine Chiropractic | Chiropractor | 4205 Crossings Blvd, Prince George, VA 23875 | 2014-07-28 |
| 1669632782 | Ashif K Jethava | Internal Medicine | 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 | 2008-06-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1033754874 | Jessica M Larche | Nurse Practitioner | 4600 Puddledock Rd, Prince George, VA 23875-1235 | 2019-11-15 |
| Find all providers in zip 23875 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110453 | Melaney A Caldwell | Pediatrics | 2035 Waterside Rd, Suite 105, Prince George, VA 23875-1265 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE GEORGE |
| Zip Code | 23875 |
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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.