FANNIE F. UTZ (NPI# 1326487224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326487224 |
| Entity Type | Individual |
| Full Name | FANNIE F. UTZ |
| Credential | FNP-BC |
| Practice Address |
1480 N Main St Suite A Madison VA 22727-3093 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 5409486743 |
| Practice Fax Number | 5409484527 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024170929 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1480 N MAIN ST SUITE A |
| City | MADISON |
| State | VA |
| Zip Code | 22727-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701942 | Jill Witherow York | Nurse Practitioner | 1480 N Main St, Madison, VA 22727-3093 | 2006-07-31 |
| 1851608020 | Michelle T. Tran | Family Medicine | 1480 N Main St, Madison, VA 22727-3093 | 2010-09-08 |
| 1417278466 | Aliya L Wilson | Family Medicine | 1480 N Main St, Madison, VA 22727-3093 | 2010-06-14 |
| 1053569582 | Sun A. Park | Internal Medicine | 1480 N Main St, Ste A, Madison, VA 22727-3093 | 2008-09-09 |
| 1558451575 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1480 N Main St, Madison, VA 22727-3093 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619243136 | Madison County Rescue Squad Inc | Ambulance | 1473 N Main Street, Madison, VA 22727 | 2012-03-29 |
| 1588995062 | Madison County Board of Supervisors | Ambulance | 1449 North Main Street, Madison, VA 22727 | 2010-01-22 |
| 1255668711 | Lorie N Davis | Counselor | 74 Legion Post Lane, Madison, VA 22727 | 2009-11-04 |
| 1720151582 | Madison County Dental Clinic | Public Health or Welfare | 410 North Main Street, Madison, VA 22727 | 2006-11-17 |
| 1255357455 | Madison County Public Schools | Local Education Agency (LEA) | 60 School Board Court, Madison, VA 22727 | 2006-07-14 |
| 1902423825 | Madison Free Clinic, Inc | Clinic/Center | 410 North Main Street, Madison, VA 22727 | 2020-06-26 |
| 1710334743 | Whitney Richards | Occupational Therapist | 1 Autumn Ct, Madison, VA 22727 | 2016-05-19 |
| 1215143813 | Jared Carter Kleine | Dentist | 1333 North Seminole Trail, Madison, VA 22727-0330 | 2007-05-14 |
| 1164464178 | John Yates Sealander | Family Medicine | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2006-06-12 |
| 1982928735 | Susan Benton Suleske | Physician Assistant | 2503 S Seminole Trl, Madison, VA 22727-2690 | 2010-03-23 |
| Find all providers in zip 22727 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
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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.