JUDY NAOMI STREET (NPI# 1326004763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326004763 |
| Entity Type | Individual |
| Full Name | JUDY NAOMI STREET |
| Credential | FNP |
| Practice Address |
Rt 460 East Grundy Plaza Family Care Center Grundy VA 24614-1440 |
| Mailing Address |
Po Box 1440 Grundy VA 24614-1440 |
| Practice Telephone | 2769352677 |
| Practice Fax Number | 2769355775 |
| Mailing Telephone | 2769352677 |
| Mailing Fax Number | 2769355775 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024164960 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
RT 460 EAST GRUNDY PLAZA FAMILY CARE CENTER |
| City | GRUNDY |
| State | VA |
| Zip Code | 24614-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861459281 | Joseph Thomas Ascue | General Practice | Rt 460 East Grundy Plaza, Family Care Center, Grundy, VA 24614-1440 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| Find all providers in zip 24614 | ||||
| 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 |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1417192543 | Tara Suzette Matney | Nurse Practitioner | 20886 Riverside Dr, Grundy, VA 24614-9597 | 2008-12-03 |
| 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 | ||||
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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.