KIMBERLY SHANELLE HATCHETT (NPI# 1285129072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285129072 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHANELLE HATCHETT |
| Credential | LPC |
| Practice Address |
435 Main St South Boston VA 24592-3241 |
| Mailing Address |
335 Woodhurst Ln Roxboro NC 27573-4265 |
| Practice Telephone | 4345750145 |
| Mailing Telephone | 9197025788 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701007731 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871551838 | Kimberly J. Hatchett | Nurse Practitioner | 8101 Clearvista Pkwy Ste 185, Indianapolis, IN 46256-5605 | 2006-05-01 |
| Street Address |
435 MAIN ST |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171948 | Elizabeth K Doherty | Counselor | 664 Dorchester Ave, South Boston, MA 02127-3537 | 2019-06-05 |
| 1679099105 | Brett Stephen Dixon | Counselor | 1410 Columbia Rd Apt 16k, South Boston, MA 02127-4018 | 2017-08-16 |
| 1629217302 | Amy Donovan Matthews | Counselor | 174 Dorchester St, South Boston, MA 02127-2844 | 2009-02-19 |
| 1982850509 | Joshua Eben Putnam | Counselor | 167 M St, South Boston, MA 02127-4258 | 2008-08-14 |
| 1669696100 | Julie Lynn Barnes | Counselor | 666 Dorchester Ave, South Boston, MA 02127-3537 | 2007-04-13 |
| 1700890761 | Southside Community Services Board | Counselor | 424 Hamilton Blvd., South Boston, VA 24592 | 2006-07-27 |
| 1063072445 | Courtney Elizabeth Hoban | Counselor | 1226a Columbia Rd, South Boston, MA 02127-3920 | 2019-06-18 |
| 1417462169 | Kathryn Elizabeth Fackina | Counselor | 210 Old Colony Ave, South Boston, MA 02127-2413 | 2017-12-04 |
| 1609312289 | Danielle L Pinals | Counselor | 1226 Columbia Rd # A, South Boston, MA 02127-3978 | 2017-01-06 |
| 1639483035 | Brian Ronald Edgar Willmer | Counselor | 275 W Broadway, South Boston, MA 02127-1943 | 2010-07-28 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on KIMBERLY SHANELLE HATCHETT.
| 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.