MRS. TAMMY MANISCALCO (NPI# 1447722871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447722871 |
Entity Type | Individual |
Full Name | MRS. TAMMY MANISCALCO |
Credential | FNP |
Practice Address |
101 Hospital Center Blvd Stafford VA 22554-6200 |
Mailing Address |
15521 Real Estate Ave Ste 206 King George VA 22485-5328 |
Practice Telephone | 5407419248 |
Mailing Telephone | 5407419248 |
Enumeration Date | 2018-12-25 |
Last Update Date | 2020-05-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177103 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 HOSPITAL CENTER BLVD |
City | STAFFORD |
State | VA |
Zip Code | 22554-6200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043343304 | Stafford Hospital, LLC | General Acute Care Hospital | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-03-14 |
1598303000 | Maryam Mahmoudzadeh | Pharmacist | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-12-16 |
1053953919 | Kelly Nicole Stephens | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-10-11 |
1750714440 | Stafford Hospital, LLC | Nutritionist | 101 Hospital Center Blvd, Stafford, VA 22554 | 2013-08-16 |
1952548869 | Stafford Hospital, LLC | Internal Medicine | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-14 |
1336386366 | Radiologic Associates of Fredericksburg | Clinic/Center | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2009-01-13 |
1215128970 | Michael David Johnson | Physician Assistant | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-08-07 |
1306049705 | Gina Louise Gallizzi | Pediatrics | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2007-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
Find all providers in zip 22554 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996817 | Kafayat T Adigun | Nurse Practitioner | 1011 Allisa St, Stafford, TX 77477-4625 | 2020-06-13 |
1811518962 | Olguine Theard-chery | Nurse Practitioner | 9 Short Branch Rd, Stafford, VA 22556-4635 | 2020-04-29 |
1992356414 | Rachael Ann Johnson Anderson | Nurse Practitioner | 1208 Brent Point Rd, Stafford, VA 22554-3313 | 2019-09-25 |
1588220255 | Christiana Bangura | Nurse Practitioner | 422 Garrisonville Rd Ste 103, Stafford, VA 22554-1573 | 2019-05-17 |
1417416546 | Diversity Healthcare Services Inc. | Nurse Practitioner | 12818 Century Dr Ste 106, Stafford, TX 77477-4224 | 2019-03-18 |
1306310214 | Pizzazz Healthcare Systems | Nurse Practitioner | 618 Wheelhouse Dr, Stafford, TX 77477-5828 | 2019-01-14 |
1225506397 | Larissa Kaneesha Peterson | Nurse Practitioner | 422 Garrisonville Rd Ste 111, Stafford, VA 22554-1573 | 2018-11-07 |
1891274296 | Erika Jonte Martin | Nurse Practitioner | 4800 Sugar Grove Blvd Ste 390, Stafford, TX 77477-2631 | 2018-08-07 |
1891214508 | Lakeshia Evans | Nurse Practitioner | 215 Freesia Ln, Stafford, VA 22554-2532 | 2017-09-13 |
1467970244 | Gwendolyn S Black | Nurse Practitioner | 4800 Sugar Grove Blvd Ste 540, Stafford, TX 77477-2150 | 2017-08-31 |
Find all providers in STAFFORD |
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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.