MRS. GLORY MBONG-NGWA (NPI# 1346873171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346873171 |
| Entity Type | Individual |
| Full Name | MRS. GLORY MBONG-NGWA |
| Practice Address |
2244 Executive Dr Hampton VA 23666-2430 |
| Mailing Address |
3148 Poplar Hill Rd # 2 Chesapeake VA 23321-5550 |
| Practice Telephone | 7572402410 |
| Mailing Telephone | 7572282584 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024178723 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2244 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
| 1134736929 | Tasha Washington | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-09-26 |
| 1518576297 | Omari Peterkin | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-07-28 |
| 1093339574 | Jonathan Greer Cawthon | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-06-01 |
| 1134751530 | Candace Bynum Lankford | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-04 |
| 1679132369 | Cheree Latai Faison | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-06-06 |
| 1881158855 | Erin M Holland | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2019-01-24 |
| 1053894386 | Riverside Hospital Inc | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-09-12 |
| 1851871529 | Abrian Nicole Wiggins | Counselor | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-08-21 |
| 1396225058 | Mavis Gaskins Rowe | Social Worker | 2244 Executive Dr, Hampton, VA 23666-2430 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861829764 | Ethos Leadership Project, LLC | Nurse Practitioner | 1322 Lasalle Ave, Suite A, Hampton, VA 23669-3810 | 2013-10-09 |
| 1134736929 | Tasha Washington | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-09-26 |
| 1518576297 | Omari Peterkin | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-07-28 |
| 1134751530 | Candace Bynum Lankford | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666-2430 | 2020-02-04 |
| 1861031858 | Felicia Elaine Goodrich | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2019-12-23 |
| 1023662954 | Virgil Charles | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2019-07-29 |
| 1114449253 | Linda Pham | Nurse Practitioner | 2244 Executive Dr, Hampton, VA 23666 | 2017-07-11 |
| 1982097184 | Transitions Empowerment Associates | Nurse Practitioner | 1322 Lasalle Ave, Suite A, Hampton, VA 23669-3810 | 2015-03-12 |
| 1235538208 | Laurie Sue Stephens | Nurse Practitioner | 2112 Hartford Rd, Hampton, VA 23666-2409 | 2014-08-15 |
| 1437336146 | Lisa Marie Kelleher | Nurse Practitioner | 200 Medical Dr, Hampton, VA 23666-1763 | 2008-01-24 |
| Find all providers in HAMPTON | ||||
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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.