DIERA PARHAMCARRUTHERS (NPI# 1447877204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447877204 |
| Entity Type | Individual |
| Full Name | DIERA PARHAMCARRUTHERS |
| Practice Address |
4532 Plank Rd Fredericksburg VA 22407-0139 |
| Mailing Address |
6106 Patrician Ct Fredericksburg VA 22407-8405 |
| Practice Telephone | 5402707480 |
| Mailing Telephone | 5404677497 |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PRC15344 | DC | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
0704007656 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4532 PLANK RD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-0139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715969 | William B Johnson | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-01-19 |
| 1740810373 | Childrens Clinic of Fredericksburg Urgent Care PC | Clinic/Center | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2020-01-23 |
| 1326699307 | Ashley Mangus | Nurse Practitioner | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-22 |
| 1164071379 | Shane Davis | Counselor | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2019-09-10 |
| 1083131155 | The Children's Clinic of Fredericksburg, PC | Pediatrics | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2017-08-29 |
| 1821018219 | Lisa Anne Grooms | Physician Assistant | 4532 Plank Rd, Fredericksburg, VA 22407-0139 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831247 | Erin Roberts | Counselor | 1845 Sag Harbor Ln, Fredericksburg, VA 22401-5083 | 2020-11-05 |
| 1073135687 | Gaye Berkshire Marston | Counselor | 11120 Gordon Rd, Fredericksburg, VA 22407-1713 | 2020-05-18 |
| 1063047025 | Quynh H. Lee | Counselor | 140 Industrial Loop Ste 200, Fredericksburg, TX 78624-5458 | 2020-03-10 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1104350610 | Kristina Bonanca | Counselor | 1500 Dunes St, Apt 304, Fredericksburg, VA 22401-5018 | 2017-04-12 |
| 1063952844 | Pelorus Counseling and Consulting, LLC | Counselor | 3306 Bourbon St, Fredericksburg, VA 22408-7311 | 2017-02-28 |
| 1639612708 | Desha Thompson | Counselor | 10304 Spotsylvania Ave Ste 300, Fredericksburg, VA 22408-8605 | 2016-11-22 |
| 1114398740 | Courtney Mckane | Counselor | 1101 Stafford Ave, Fredericksburg, VA 22401-5457 | 2015-10-08 |
| 1295135739 | Kaitlin Witmer | Counselor | 10712 Ballantraye Dr Ste 304, Fredericksburg, VA 22407-4702 | 2014-09-03 |
| 1083031454 | Shirley Taylor | Counselor | 4510 Plank Rd Ste 203, Fredericksburg, VA 22407-0138 | 2014-03-24 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
Please comment or provide details below to improve the information on DIERA PARHAMCARRUTHERS.
| 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.