JAQURIS DASHUN BREWER (NPI# 1457817231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457817231 |
Entity Type | Individual |
Full Name | JAQURIS DASHUN BREWER |
Practice Address |
1037 W 39th St Norfolk VA 23508-2788 |
Mailing Address |
218 Travis Dr Lawrenceville VA 23868-4025 |
Practice Telephone | 4343781126 |
Mailing Telephone | 4345323450 |
Enumeration Date | 2019-02-16 |
Last Update Date | 2019-02-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 83-3462452 | 05 |
Street Address |
1037 W 39TH ST |
City | NORFOLK |
State | VA |
Zip Code | 23508-2788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
Find all providers in zip 23508 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
1851914691 | Andrea Fletcher Rogers | Driver | 167 Haven Dr, Norfolk, VA 23503-4839 | 2020-05-27 |
1316571839 | Gierra Nichey Norman | Driver | 3525 Johns St, Norfolk, VA 23513-1621 | 2020-02-24 |
1346767480 | Sonya Scott | Driver | 1254 Piccadilly St. Apt A, Norfolk, VA 23513 | 2017-08-29 |
1033635685 | Vanessa Mcneil | Driver | 2949 Argonne Ave, Norfolk, VA 23509-2503 | 2017-08-16 |
1609304328 | Brenda Hammett | Driver | 3150 Herbert St Bldg 2, Norfolk, VA 23513-2302 | 2017-05-25 |
1881293421 | Jamar Humphrey | Driver | 999 Waterside Dr Ste 2525, Norfolk, VA 23510-3316 | 2020-10-24 |
1124471347 | Machel L Cruz | Driver | 3175 Azalea Garden Rd Ste C, Norfolk, VA 23513-2363 | 2016-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
1356950059 | Lashon Akie Perry | Driver | 2704 New Park Rd, North Chesterfield, VA 23237-1725 | 2020-07-28 |
Find all providers with the same taxonomy |
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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.