MH 102, PC (NPI# 1285105171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285105171 |
| Entity Type | Organization |
| Organization Name | MH 102, PC |
| Practice Address |
2322 Blue Stone Hills Dr Ste 260 Harrisonburg VA 22801-5403 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 8028570400 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | BEVERLEY RAYMOND (PRESIDENT) |
| Authorized Official Telephone | 8028570400 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | Y |
| Parent Organization Name | MH 102, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| MH 102, PC at Cargill Harrisonburg, VA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268219 | Mh 102, PC | Nurse Practitioner | 1 Aflac Parkway, Columbus, GA 31907 | 2020-02-28 |
| 1457985590 | Mh 102, PC | Nurse Practitioner | 193 Tilley Dr, South Burlington, VT 05403-4440 | 2020-02-27 |
| 1831723964 | Mh 102, PC | Nurse Practitioner | 1932 Wynnton Rd, Columbus, GA 31999-0001 | 2020-02-27 |
| 1174157218 | Mh 102, PC | Nurse Practitioner | 813 E 68th St Ste B, Savannah, GA 31405-4710 | 2020-02-27 |
| 1457985509 | Mh 102, PC | Nurse Practitioner | 5204 Bernard Dr Ste 300a, Roanoke, VA 24018-4345 | 2020-02-27 |
| 1588298624 | Mh 102, PC | Nurse Practitioner | 817 Botetourt Ct Ste 106, Chesapeake, VA 23320-4886 | 2020-02-27 |
| 1811476286 | Mh 102, PC | Nurse Practitioner | 1020 Barrow Industrial Pkwy, Winder, GA 30680-3891 | 2018-08-07 |
| 1689177040 | Mh 102, PC | Nurse Practitioner | 98 Alexandria Pike Ste 52, Warrenton, VA 20186-2849 | 2018-03-13 |
| 1720599657 | Mh 102, PC | Nurse Practitioner | 864 Spring St Nw, Atlanta, GA 30308-1007 | 2017-10-18 |
| 1053754275 | Mh 102, PC | Non-Pharmacy Dispensing Site | 5650 Main St, C/o Vcs Health Center, Manchester Center, VT 05255-9711 | 2013-04-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MH 102, PC | Po Box 5, Winooski, VT 05404 |
| Street Address |
2322 BLUE STONE HILLS DR STE 260 |
| City | HARRISONBURG |
| State | VA |
| Zip Code | 22801-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046678 | Comprehensive Advanced Practice Nursing Care Pllc | Nurse Practitioner | 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 | 2020-06-01 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1689233868 | Catherine Saliba Western | Occupational Therapist | 1591 Port Republic Road, Harrisonburg, VA 22801 | 2019-06-11 |
| 1043794027 | Srijana Chhetri | Social Worker | 217 S. Liberty St., Suite 205, Harrisonburg, VA 22801 | 2018-09-17 |
| 1649765306 | Jacob Nathaniel Shank | Physician Assistant | 75 Health Campus Drive, Harrisonburg, VA 22801 | 2018-06-26 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| 1982119475 | C. M. Garrison, Dds, PC | Dentist | 129 University Blvd., Suite D, Harrisonburg, VA 22801 | 2017-12-06 |
| 1518495696 | Amanda Ormsby | Speech-Language Pathologist | 847 Alpine Dr, Harrisonburg, VA 22801 | 2017-06-01 |
| 1447621867 | Generations Crossing | Clinic/Center | 3765 Taylor Spring Lane, Harrisonburg, VA 22801 | 2015-10-12 |
| 1275918427 | Tyechia Blakey | Massage Therapist | 1356 1/2 S. Main St., Harrisonburg, VA 22801 | 2015-07-29 |
| Find all providers in zip 22801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528691052 | Carey Elizabeth Dean | Nurse Practitioner | 136 W Elizabeth St Ste 102, Harrisonburg, VA 22802-3811 | 2020-02-12 |
| 1942852728 | Katelyn Marie Ray | Nurse Practitioner | 1931 Medical Ave, Harrisonburg, VA 22801-3437 | 2019-07-12 |
| 1790272441 | Amabelle Picardo Florendo | Nurse Practitioner | 1871 Evelyn Byrd Ave, Harrisonburg, VA 22801-3487 | 2018-04-18 |
| 1811301344 | Michelle Mcneal | Nurse Practitioner | 640 S Main St, Harrisonburg, VA 22801-5819 | 2014-06-12 |
| 1649527623 | Jennifer Bryant | Nurse Practitioner | 1931 Medical Ave, Harrisonburg, VA 22801-3437 | 2012-08-09 |
| 1902184567 | Heather Niccole Camp | Nurse Practitioner | 1871 Evelyn Byrd Ave, Harrisonburg, VA 22801 | 2011-08-01 |
| 1649558826 | Holly Kristen Kellett | Nurse Practitioner | 1871 Evelyn Byrd Ave, Harrisonburg, VA 22801 | 2011-07-22 |
| 1457536443 | Valley Nurse Practitioners Inc | Nurse Practitioner | 1225 Reservoir St, Harrisonburg, VA 22801-4415 | 2008-01-08 |
| 1528037678 | Sharon L Strang | Nurse Practitioner | 563 Neff Ave, Suite A, Harrisonburg, VA 22801-3492 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445846 | Stephanie Leann Ball | Nurse Practitioner | 655 Belfast School Rd, Cedar Bluff, VA 24609-8217 | 2020-10-24 |
| 1548867526 | Pamela Jean Scholl | Nurse Practitioner | 3704 Aquia Dr, Stafford, VA 22554-2705 | 2020-10-02 |
| 1356948483 | Dawn Aimee Fisher | Nurse Practitioner | 2187 Hunters Lodge Rd, Troy, VA 22974-4344 | 2020-10-01 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1790390938 | Premier Healthcare Service, LLC | Nurse Practitioner | 1015 Eden Way N Ste A, Chesapeake, VA 23320-2787 | 2020-09-14 |
| 1871108233 | Ricky Brockington | Nurse Practitioner | 19124 Lakeside Dr, Courtland, VA 23837-2634 | 2020-09-12 |
| 1578178422 | Behishta Ishanzai | Nurse Practitioner | 7500 Geoint Dr, Springfield, VA 22150-7500 | 2020-09-08 |
| 1467066795 | Colleen Marie Gleason | Nurse Practitioner | 2522 S Arlington Mill Dr Apt D, Arlington, VA 22206-4033 | 2020-09-03 |
| 1639782659 | Wendy Renee Easter | Nurse Practitioner | 20720 Cross Timber Dr, Ashburn, VA 20147-4470 | 2020-08-28 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONBURG |
| Zip Code | 22801 |
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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.