MRS. MICHELLE WALRAVEN (NPI# 1356731871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356731871 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE WALRAVEN |
| Credential | CPHT |
| Practice Address |
25 S Gateway Dr T-2175 Fredericksburg VA 22406-1228 |
| Practice Telephone | 5403744821 |
| Practice Fax Number | 5403744831 |
| Mailing Telephone | 5403744821 |
| Mailing Fax Number | 5403744831 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 290101040759955 | VA | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | 0230007988 | VA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHARMACY TECHNICIAN CERTIFICATION BOARD | 290101040759955 | 01 | |
| COMMONWEALTH OF VIRGINIA STATE LICENSE | 0230007988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164864054 | Michelle Lois Walraven | Social Worker | 2553 Chatsworth Hwy 225 Ne, Calhoun, GA 30701-8404 | 2013-07-22 |
| 1245663145 | Michelle Walraven | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2013-08-14 |
| Street Address |
25 S GATEWAY DR T-2175 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22406-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346535697 | Melissa Harvey | Pharmacist | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2011-06-15 |
| 1043683832 | So Rin Yi | Pharmacist | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-11-03 |
| 1366826653 | Aneeza Perveen Ahmad | Pharmacist | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-07-16 |
| 1881073583 | Breanna Reeves | Pharmacy Technician | 25 S Gateway Dr, T-2175, Fredericksburg, VA 22406-1228 | 2015-05-27 |
| 1356732333 | Marie Smith | Pharmacy Technician | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-02-11 |
| 1134510605 | Karen Frostick | Pharmacy Technician | 25 S Gateway Dr, T2175, Fredericksburg, VA 22406-1228 | 2015-02-05 |
| 1033496484 | Susan Mcknight Sprow | Pharmacist | 25 S Gateway Dr, T-2175, Fredericksburg, VA 22406-1228 | 2011-11-14 |
| 1598051799 | Philip M Agee | Pharmacist | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2011-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964599 | Mary Washington Healthcare Clinical Services Inc | Clinic/Center | 10 Stafford Lakes Pkwy, Suite 100, Fredericksburg, VA 22406 | 2020-02-14 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1033629142 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 127 Litchfield Blvd, Fredericksburg, VA 22406 | 2017-10-03 |
| 1689110090 | Billiejo Yeater | Occupational Therapy Assistant | 60 Brimley Drive, Fredericksburg, VA 22406 | 2017-01-09 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1669774147 | Jason Todd Derting | Physical Therapy Assistant | 140 Brimley Road, Fredericksburg, VA 22406 | 2010-12-03 |
| 1891019733 | Stafford Healthcare Group, Inc. | Skilled Nursing Facility | 140 Brimley Drive, Fredericksburg, VA 22406 | 2010-03-22 |
| 1689900623 | Joseph Glenn Hoe | Radiologic Technologist | 754 Warrenton Road, Suite 113, Fredericksburg, VA 22406 | 2009-10-27 |
| 1801080932 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 53 Stanstead Rd, Fredericksburg, VA 22406 | 2007-08-31 |
| 1285763193 | Leslie Elaine White | Pharmacist | 1095 International Parkway, Rite Aid Pharmacy, Fredericksburg, VA 22406 | 2007-03-05 |
| Find all providers in zip 22406 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992195457 | Michelle Hareras | Pharmacy Technician | 9785 Jeff Davis Hwy, Fredericksburg, VA 22407-9406 | 2015-02-04 |
| 1881073583 | Breanna Reeves | Pharmacy Technician | 25 S Gateway Dr, T-2175, Fredericksburg, VA 22406-1228 | 2015-05-27 |
| 1356732333 | Marie Smith | Pharmacy Technician | 25 S Gateway Dr, Fredericksburg, VA 22406-1228 | 2015-02-11 |
| 1134510605 | Karen Frostick | Pharmacy Technician | 25 S Gateway Dr, T2175, Fredericksburg, VA 22406-1228 | 2015-02-05 |
| 1952791550 | Emilie Anne-marie Bouchard | Pharmacy Technician | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2015-02-03 |
| 1710377312 | Crystal Lyne Barnett | Pharmacy Technician | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2015-02-03 |
| 1912397761 | Percy Burt | Pharmacy Technician | 1180 Carl D Silver Pkwy, Fredericksburg, VA 22401-4913 | 2015-02-02 |
| 1144610924 | Susan Ahlfield | Pharmacy Technician | 1180 Carl D Silver Pkwy, Fredericksburg, VA 22401-4913 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911283 | Christopher Tiller | Pharmacy Technician | 3501 Chesterbrook Ct Apt 633, Henrico, VA 23233-1297 | 2020-04-27 |
| 1255951513 | Delea Dawn Edwards | Pharmacy Technician | 165 Boxwood Ln, Galax, VA 24333-6435 | 2020-04-16 |
| 1902434871 | Oscar W Miranda | Pharmacy Technician | 6501 Loisdale Ct Ste 1100, Springfield, VA 22150-1885 | 2020-03-27 |
| 1700412038 | Victor Gituma Njogu | Pharmacy Technician | 1527 28th St S Apt 4, Arlington, VA 22206-3235 | 2020-03-18 |
| 1548735624 | Adrian David Canfield | Pharmacy Technician | 7100 Able Rd, Chesterfield, VA 23832-8417 | 2018-10-04 |
| 1649755745 | Mirian Silva Naybor | Pharmacy Technician | 5614 Flag Run Dr, Springfield, VA 22151-2725 | 2018-09-25 |
| 1619359882 | Daniel Ngembus | Pharmacy Technician | 10331 Staples Mill Rd, Glen Allen, VA 23060-3252 | 2015-06-24 |
| 1629463476 | Jennifer Keyton | Pharmacy Technician | 2003 Chestnut Dr, Culpeper, VA 22701-4105 | 2015-03-30 |
| 1083005896 | Hillary Wiles-lafayette | Pharmacy Technician | Vcuhs Department of Medicine-emergency Med 980401, 1250 E Marshall Street, Richmond, VA 23298-0401 | 2015-02-16 |
| 1134510035 | Kimberly Hoy | Pharmacy Technician | 1602 Waters Edge Ln, Suffolk, VA 23435-2853 | 2015-02-12 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22406 |
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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.