COREY JAMAL LOTT (NPI# 1487110847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487110847 |
| Entity Type | Individual |
| Full Name | COREY JAMAL LOTT |
| Practice Address |
1604 Cavalier Blvd Pontamouth VA 23701 |
| Practice Telephone | 7572979086 |
| Mailing Telephone | 7572979086 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374T00000X | Religious Nonmedical Nursing Personnel | Nursing Service Related Providers | ||
| N | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers | ||
| N | 335G00000X | Medical Foods Supplier | Suppliers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1604 CAVALIER BLVD |
| City | PONTAMOUTH |
| State | VA |
| Zip Code | 23701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437792959 | Roz & James,llc | Home Health | 4397 Portsmouth Blvd, Portsmouth, VA 23701 | 2019-10-28 |
| 1063931558 | Diadem Doyenne, LLC | Prosthetist | 6515 Portsmouth Blvd, Portsmouth, VA 23701 | 2017-09-15 |
| 1629474044 | Cold Hands Warm Heart Home Health Care LLC | Custodial Care Facility | 504 Cherokee Rd Apt E, Portsmouth, VA 23701 | 2014-11-12 |
| 1770846800 | Turning Points Residential Care, LLC | Exclusive Provider Organization | 23 Carver Circle, Portsmouth, VA 23701 | 2012-06-22 |
| 1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
| 1841494051 | Vlad Vasile Stanila | Specialist | 680 John Paul Jones Circ, Fpo, AP 23701 | 2007-06-12 |
| 1134295512 | Stephen Mark Goldstein | Dentist | 6263 Portsmouth Bld, Portsmouth, VA 23701 | 2006-11-28 |
| 1275620866 | Kool Smiles Van, PC | Dentist | 4072 Victory Blvd., Portsmouth, VA 23701 | 2006-10-06 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| 1093780066 | Sarah Jane Daviscrawford | Registered Nurse | 27 Greenland Blvd, Portsmouth, VA 23701 | 2006-02-22 |
| Find all providers in zip 23701 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861702185 | Aaa Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 7700 Little River Turn Pk, #204, Annandale, VA 22003 | 2010-10-20 |
| 1497926109 | 1 Source Solutions, LLC | Durable Medical Equipment & Medical Supplies | 6505 Harbour Pointe Dr, Suffolk, VA 23435-3181 | 2008-03-20 |
| City | PONTAMOUTH |
| Zip Code | 23701 |
Please comment or provide details below to improve the information on COREY JAMAL LOTT.
| 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.