MS. BRENDA RAE CRUM (NPI# 1306883418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306883418 |
| Entity Type | Individual |
| Full Name | MS. BRENDA RAE CRUM |
| Other Name | MRS. BRENDA R PETERMAN |
| Credential | CFNP |
| Practice Address |
1930 Opitz Blvd Woodbridge VA 22191 |
| Practice Telephone | 7034979950 |
| Practice Fax Number | 7034979956 |
| Mailing Telephone | 7034979950 |
| Mailing Fax Number | 7034979956 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
24131318 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7792085 | 05 |
| Street Address |
1930 OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295817427 | Aysegul Soyer Md Plc | Specialist | 1930 Opitz Blvd, Woodbridge, VA 22191-3304 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497124945 | Krystal Bauman | Registered Nurse | 6008 Fox Haven Ct, Woodbridge, VA 22193-4008 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003236 | Lonnie R Thomas Jr. | Registered Nurse | 5520 Murphy Rd, Vansant, VA 24656-7886 | 2020-11-03 |
| 1013518653 | Rachelle Anne Torres Bullard | Registered Nurse | 8930 Mayhew Ct, Lorton, VA 22079-4722 | 2020-11-02 |
| 1013522283 | Jacob Anthony Orrino | Registered Nurse | 2810 S Wakefield St Unit C, Arlington, VA 22206-1113 | 2020-09-14 |
| 1548881238 | Nicole Haliday | Registered Nurse | 700 Baker Rd Ste 103, Virginia Beach, VA 23462-1077 | 2020-05-04 |
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1841825726 | Gracia Nseya North | Registered Nurse | 13223 Wrenn House Ln, Herndon, VA 20171-3958 | 2020-03-11 |
| 1124564463 | Josie Pierre-louis | Registered Nurse | 13620 Brandy Oaks Dr, Chesterfield, VA 23832-2700 | 2017-01-10 |
| 1700256211 | Nicholas Gene Parks | Registered Nurse | 6144 Rolfe Ave, Norfolk, VA 23508-1026 | 2015-09-28 |
| 1760742175 | Samantha Carey | Registered Nurse | 11001 Royal Mews Ct, Chester, VA 23831-1297 | 2012-05-18 |
| 1144589987 | Janice Laverne Wyatt | Registered Nurse | 4 Great Lakes Dr, Hampton, VA 23669-2394 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on MS. BRENDA RAE CRUM.
| 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.