HOLLY JASON KIBBLE (NPI# 1447478219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447478219 |
| Entity Type | Individual |
| Full Name | HOLLY JASON KIBBLE |
| Credential | M.D. |
| Practice Address |
1300 W Broad St Suite 2200 Richmond VA 23284-9089 |
| Mailing Address |
4626 Halleys Cir Glen Allen VA 23060-3551 |
| Practice Telephone | 8048287320 |
| Mailing Telephone | 8042178043 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101238400 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1300 W BROAD ST SUITE 2200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23284-9089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548317308 | Virginia Commonwealth University Health System Authority | Clinic/Center | 1300 W Broad St, Richmond, VA 23284-9089 | 2007-01-04 |
| 1174138101 | Meghan Luczkowski | Physical Therapist | 1300 W Broad St, Richmond, VA 23284-9058 | 2020-09-15 |
| 1477088847 | Jeffrey Michael Collins | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-24 |
| 1891229423 | Ray Kim | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-20 |
| 1861926560 | Mike Avey | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-19 |
| 1538545546 | Emily O'laughlin | Nurse Practitioner | 1300 W Broad St, Suite 2200, Richmond, VA 23284-9089 | 2015-08-03 |
| 1073907135 | Bradly Pruett | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2015-03-26 |
| 1336531201 | Laura Parry | Specialist/Technologist | 1300 W Broad St, Suite 130a, Richmond, VA 23284-9089 | 2015-03-02 |
| 1336555226 | Christine Hopkins | Specialist | 1300 W Broad St, Richmond, VA 23284-9089 | 2014-07-11 |
| 1649602657 | Nicole Kiku Stevens | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495635 | Vanessa M Ellison | Social Worker | 907 Floyd Ave Ste 238, Richmond, VA 23284 | 2018-01-12 |
| 1366786790 | Elizabeth Winthrop | Nurse Practitioner | 1200 W Broad St, Richmond, VA 23284 | 2012-11-26 |
| 1134333099 | Christine Petze Charbonneau | Registered Nurse | 1300 W Broad Street, Virginia Commonwealth University Student Health Service, Richmond, VA 23284 | 2007-05-10 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1912394800 | Samuel Grodman | Emergency Medicine | 821 W Franklin St, Richmond, VA 23284 | 2015-04-19 |
| 1225242183 | Jeannette Stien Bishai | Registered Nurse | 1300 West Broad Street, Richmond, VA 23284 | 2007-05-10 |
| 1194100644 | James Thomas Benzel | Specialist/Technologist | 1300 West Broad St., Suite 130, Richmond, VA 23284-2003 | 2015-07-27 |
| 1093940447 | Micah L Mccreary | Psychologist | 800 W. Franklin Street, Room 107, Richmond, VA 23284-2018 | 2009-05-28 |
| 1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
| 1497873814 | Alan David Freedman | Specialist/Technologist | Virginia Commonwealth University School of Education, 1015 West Main St., Box 842020, Richmond, VA 23284-2020 | 2007-03-26 |
| Find all providers in zip 23284 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1215570700 | Eric Morgen | General Practice | 1445 S 50th St Ste A, Richmond, CA 94804-4605 | 2019-10-28 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| 1124570817 | Estefania Teron Cosme | General Practice | Vcuhs Dept of Pediatric Hematology Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2016-10-27 |
| 1801134101 | Teddy Gonzalez | General Practice | 11546 Ryan Manor Dr, Richmond, TX 77406-3994 | 2013-01-21 |
| 1467704551 | Chs Virginia Medical, PC | General Practice | 2325 Bells Rd, Richmond, VA 23234-2274 | 2012-10-12 |
| 1023360112 | Chs Virginia Medical, P.C. | General Practice | 6601 W Broad St, Richmond, VA 23230-1723 | 2012-10-12 |
| 1750633137 | Chs Virginia Medical P C | General Practice | 1001 Semmes Ave, First Floor, Richmond, VA 23224-2245 | 2012-10-09 |
| 1831450287 | Priya Chandan | General Practice | 1805 Floyd Ave, Richmond, VA 23220-4513 | 2012-06-01 |
| Find all providers in RICHMOND | ||||
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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.