JEANNE BODNER (NPI# 1487041539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487041539 |
| Entity Type | Individual |
| Full Name | JEANNE BODNER |
| Other Name | JEANNE CAHILL |
| Credential | NP |
| Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
| Mailing Address |
210 Drake Lndg New Bern NC 28560-8416 |
| Practice Telephone | 5409817001 |
| Mailing Telephone | 4843192515 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NPAG0115122 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 ELM AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324120 | Huntington Healthcare Associates, LLC | Nurse Practitioner | 9308 N 100 E, Roanoke, IN 46783 | 2018-01-11 |
| 1417347451 | Audra Lisa Doyle | Nurse Practitioner | 1802 Electric Rd, Roanoke, VA 24018-1619 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948079 | Alissa Levine Wong | Nurse Practitioner | 8301 Arlington Blvd Ste 100, Fairfax, VA 22031-2902 | 2020-10-06 |
| 1912514209 | Kala Rutherford Stapleton | Nurse Practitioner | 1800 Combs Rd Ste 12, Pennington Gap, VA 24277-1808 | 2020-09-30 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1093327876 | Jasmine Jones | Nurse Practitioner | 2828 Candlewood Cir, Chesapeake, VA 23324-3936 | 2020-08-21 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1952935777 | Janice Oh | Nurse Practitioner | 7700 Little River Tpke Ste 102, Annandale, VA 22003-2400 | 2020-03-02 |
| 1003449448 | Yasmine M Kletter | Nurse Practitioner | 15213 Addison Ln, Woodbridge, VA 22193-6223 | 2020-02-13 |
| 1770113763 | Amy Armstead | Nurse Practitioner | 620 Keswick Rd, Colonial Heights, VA 23834-1729 | 2020-01-19 |
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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.