JACQUELINE DOMPEREH (NPI# 1417454364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417454364 |
| Entity Type | Individual |
| Full Name | JACQUELINE DOMPEREH |
| Practice Address |
5680 King Centre Dr Ste 600 Alexandria VA 22315-5755 |
| Practice Telephone | 7036473826 |
| Practice Fax Number | 7035460840 |
| Mailing Telephone | 7036473826 |
| Mailing Fax Number | 7035460840 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
5680 KING CENTRE DR STE 600 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22315-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780051870 | Cavalier Healthcare Services Inc. | Home Health | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5742 | 2015-08-25 |
| 1487264206 | Jerry's Caring Hands Incorporation | Home Health | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-08-06 |
| 1427667799 | Shana Home Care LLC | In Home Supportive Care | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-07-23 |
| 1962037838 | Carelinx Home Healthcare LLC | Home Health | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-03-11 |
| 1295369544 | Elizabeth Colleli | Behavior Technician | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-02-26 |
| 1316578982 | Aw Home Health Agency LLC | Home Health | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-01-31 |
| 1144851379 | Alice Polonsky | Behavior Technician | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2020-01-27 |
| 1063058022 | A Better Mind, A Better Me, LLC | Nurse Practitioner | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2019-11-25 |
| 1063071413 | Christal Nicole Baugh | Counselor | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2019-06-10 |
| 1699339283 | Aw Home Care Agency LLC | Home Health | 5680 King Centre Dr Ste 600, Alexandria, VA 22315-5755 | 2019-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871865 | Wegmans Food Markets, Inc. | Pharmacy | 7905 Hilltop Village Center Drive, Alexandria, VA 22315 | 2015-05-22 |
| 1255731071 | Jennifer Becker | Registered Nurse | 6061 Joust Ln, Alexandria, VA 22315 | 2014-08-28 |
| 1386908564 | Gregory James Davis | Pharmacist | 7100 Silver Lake Rd, Alexandria, VA 22315 | 2012-07-02 |
| 1447525910 | Tersit Menberu Gulelat | Pharmacist | 7216 Lake Cove Dr, Alexandria, VA 22315 | 2012-03-17 |
| 1720392871 | Hung Quoc Chau Lu | Dentist | 6479 Old Beulah St, Alexandria, VA 22315 | 2010-07-31 |
| 1962727958 | Armin Susan Razavi | Obstetrics & Gynecology | 5420 Castle Bar Ln, Alexandria, VA 22315 | 2010-04-01 |
| 1205027463 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 5680 King Centre Dr Ste 673, Alexandria, VA 22315 | 2007-08-05 |
| 1114045606 | Amanuel Haileab | Pharmacist | 6400 Lansdown Center, Cvs Pharmacy, Alexandria, VA 22315 | 2007-03-26 |
| 1336265859 | Arnold B Braff | Optometrist | 5800 Kingstowne Blvd, Alexandria, VA 22315 | 2007-03-22 |
| 1154404622 | Don J Pisciotta | Dentist | 6408 Grovedale Drive, Suite 100, Franconia, VA 22315 | 2006-10-20 |
| Find all providers in zip 22315 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669140 | Mishawn Glover | Counselor | 2020 S Washington Street, Alexandria, VA 22114 | 2020-11-02 |
| 1700406204 | Matilde Beisso | Counselor | 5300 Holmes Run Pkwy Apt 307, Alexandria, VA 22304-2838 | 2020-04-24 |
| 1790310548 | Shawn Denise Singleton | Counselor | 3600 Jackson St Ste 1118, Alexandria, LA 71303-3040 | 2020-03-11 |
| 1184257271 | Brianchelle Taraneka Batiste | Counselor | 3600 Jackson Street, Alexandria, LA 71302 | 2020-02-17 |
| 1326688763 | Kristina Jorden | Counselor | 2 Herbert St, Alexandria, VA 22305-2628 | 2020-01-14 |
| 1194370940 | Maya Arth | Counselor | 4480 King St Fl 5, Alexandria, VA 22302-1339 | 2019-08-08 |
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1093367096 | Shannon Rae Birkner | Counselor | 5695 King Centre Dr Ste B101, Alexandria, VA 22315-5747 | 2019-07-10 |
| 1093377558 | Sagan Marie King | Counselor | 782 N Howard St Apt 403, Alexandria, VA 22304-5423 | 2019-07-05 |
| 1578024766 | Ebony Griffin | Counselor | 4328 Duke St, Alexandria, VA 22304-2528 | 2019-03-29 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22315 |
Please comment or provide details below to improve the information on JACQUELINE DOMPEREH.
| 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.