DENNIS HEASLEY (NPI# 1487830204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487830204 |
| Entity Type | Individual |
| Full Name | DENNIS HEASLEY |
| Practice Address |
576 Jefferson Ave Ft Eustis VA 23604-5548 |
| Mailing Address |
327 26th St Apt H Fort Eustis VA 23604-1140 |
| Practice Telephone | 7573147666 |
| Mailing Telephone | 7573147666 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
576 JEFFERSON AVE |
| City | FT EUSTIS |
| State | VA |
| Zip Code | 23604-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629218367 | David Wayne Basinger | Physical Therapy Assistant | 576 Jefferson Ave, Mcdonald Army Health Center, Ft Eustis, VA 23604-5548 | 2009-02-20 |
| 1154536720 | Stephanie Michelle Valentin | Physical Therapy Assistant | 576 Jefferson Ave, Ft Eustis, VA 23604 | 2007-05-14 |
| 1356493498 | Richard G Samaha | Emergency Medicine | 576 Jefferson Ave, Ft Eustis, VA 23604-5548 | 2007-01-17 |
| 1902866718 | Kathleen Marie Stack | Psychiatry & Neurology | 576 Jefferson Ave, Mcdonald Army Health Center, Ft Eustis, VA 23604-5548 | 2006-03-24 |
| 1184610701 | Darii Ann Lane | Family Medicine | 576 Jefferson Ave, Ft Eustis, VA 23604 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665363 | Kristin Peck | Specialist/Technologist, Other | 3435 W Cary St, Richmond, VA 23221-2726 | 2020-09-24 |
| 1053941948 | Christopher Swartz | Specialist/Technologist, Other | 9021 Tyler Ct, Manassas, VA 20110-4258 | 2020-01-21 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1346549557 | Osun Technologies LLC | Specialist/Technologist, Other | 16486 Kramer Estate Dr., Woodbridge, VA 22191 | 2011-03-28 |
| 1689838054 | Miluska Irela Ugarte | Specialist/Technologist, Other | 1720 Star Ct, Virginia Beach, VA 23456-1311 | 2008-07-15 |
| 1346547361 | Kristi Lynn Williamson | Specialist/Technologist, Other | 245 North St, Bristol, VA 24201-3274 | 2011-02-28 |
| 1235461757 | Cory Arnold | Specialist/Technologist, Other | 4133 Peridot Dr, Virginia Beach, VA 23456-5807 | 2010-02-09 |
| 1730348863 | Wellmont Health System | Specialist/Technologist, Other | 310 3rd St Ne, Norton, VA 24273-1137 | 2008-06-04 |
| 1972773018 | Natasha M Crichlow | Specialist/Technologist, Other | 576 Jefferson Ave, Fort Eustis, VA 23604 | 2008-03-05 |
| 1316068125 | Izaskun Yvonne Brown | Specialist/Technologist, Other | 3259 Catlin Ave, Naval Health Clinic Quantico, Deployment Health Clinic, Quantico, VA 22134-5109 | 2007-04-02 |
| 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.