MRS. JEANNIE LYNN CHILDRESS (NPI# 1376008730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376008730 |
| Entity Type | Individual |
| Full Name | MRS. JEANNIE LYNN CHILDRESS |
| Credential | FNP-C |
| Practice Address |
600 W Ridge Rd Wytheville VA 24382-1044 |
| Practice Telephone | 2762280200 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024177239 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326285784 | Jeannie M Childress | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2009-01-07 |
| Street Address |
600 W RIDGE RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451567 | Gordon Jay Settlow | Specialist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2005-07-20 |
| 1972138493 | Tammy Lynn Guinn | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2020-03-04 |
| 1275175457 | Carrie Joan Mckinney | Hospitalist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-10-09 |
| 1114585197 | Gary Paul Rogers IIi | Nutritionist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-06-04 |
| 1851875710 | Andrew Preston Widener | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2018-09-17 |
| 1477087500 | Jennifer L Tarter | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2017-04-15 |
| 1124575592 | Sheridan Anesthesia Services of Virginia, Inc | Anesthesiology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2016-09-02 |
| 1316347354 | Rebecca Williams | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2014-08-27 |
| 1225391162 | Anna L. Caldwell | Physician Assistant | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2012-06-15 |
| 1962702522 | Mountain View Pathology LLC | Pathology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2010-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| 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 |
|---|---|---|---|---|
| 1467070649 | Catherine Elizabeth Granai | Nurse Practitioner | 2130 W Ridge Rd, Wytheville, VA 24382-5026 | 2020-07-14 |
| 1295387595 | Wythe Wellness Inc | Nurse Practitioner | 325 E Main St Ste B, Wytheville, VA 24382-2300 | 2019-07-16 |
| 1356811863 | Ashley Ball | Nurse Practitioner | 590 W Ridge Rd Ste M, Wytheville, VA 24382-1067 | 2018-11-27 |
| 1619083136 | Mary Beth Marinus | Nurse Practitioner | 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 | 2006-08-21 |
| 1982657680 | Patricia Blakesley Singleton | Nurse Practitioner | 750 West Ridge Road, Wytheville, VA 24382 | 2006-05-17 |
| 1639693567 | Lhcg Cxxvii, LLC | Nurse Practitioner | 1155 N 4th St, Wytheville, VA 24382-1096 | 2017-08-02 |
| 1770593212 | Susan U Moore | Nurse Practitioner | 1785 W Lee Hwy, Wytheville, VA 24382-1437 | 2006-08-08 |
| 1841254018 | Amy Reed Blevins | Nurse Practitioner | 770 W Ridge Rd, Suite 220, Wytheville, VA 24382-1046 | 2006-04-14 |
| 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 | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
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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.