CARLI MICHELLE DEITEL (NPI# 1497218556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497218556 |
| Entity Type | Individual |
| Full Name | CARLI MICHELLE DEITEL |
| Other Name | CARLI MICHELLE WITTGROVE |
| Practice Address |
Uss Carter Hall Virginia Beach VA 23459 |
| Mailing Address |
Unit 100121 Box 1 Fpo AE 09573-2100 |
| Practice Telephone | 7574627135 |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
USS CARTER HALL |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1346686888 | Jonathan Kan | Military Health Care Provider | 1855 Helicopter Road, Virginia Beach, VA 23459 | 2013-05-10 |
| 1710276480 | Michael Monroe | Military Health Care Provider | 2520 Midway Rd, Ste 200, Eodmu Two Medical Dept, Virginia Beach, VA 23459 | 2011-04-04 |
| 1922214378 | Zachary Dukane Pryor | Military Health Care Provider | 1745 10th Street, Beach Master Unit Two, Virginia Beach, VA 23459 | 2007-05-15 |
| 1962561118 | James Andrew Church | Nurse Practitioner | 642 New Guinea Rd, Ft. Story, VA 23459 | 2006-12-06 |
| 1134226988 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 649 New Guinea Rd, Ft Story, VA 23459 | 2006-09-20 |
| 1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
| 1326467754 | Sajeewane Manjula Seales | Family Medicine | Naval Medical Center Portsmouth, 1035 Nider Blvd, Virginia Beach, VA 23459 | 2014-04-14 |
| 1255677332 | Daniel Wayne Davis | Physician Assistant | 1035 Nider Blvd, Suite 100, Virginia Beach, VA 23459 | 2012-12-18 |
| 1881057883 | Christopher James Knoedler Jr. | Student in an Organized Health Care Education/Training Program | Marine Corps Security Cooperation Group, 937 Atlantic Ave, Fort Story, VA 23459-0001 | 2016-03-29 |
| Find all providers in zip 23459 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
| 1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
| 1548469851 | Jose E Sanchez Norat | Military Health Care Provider | 2909 Mimosa Ct, Virginia Beach, VA 23453-7053 | 2007-07-16 |
| 1881674406 | Robert Perry Randolph | Military Health Care Provider | 212 78th St, Virginia Beach, VA 23451-1923 | 2006-01-19 |
| 1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
| 1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
| 1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
| 1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
| 1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
| 1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
| 1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
| 1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
| 1093913402 | Edgar Omar Rodriguez | Military Health Care Provider | Uss Bataan Lhd-5, Fpo Ae, Norfolk, VA 09554-1657 | 2007-07-06 |
| 1972664753 | Gerald Raymond Turner | Military Health Care Provider | 300 East Main, Suite 1000, Norfolk, VA 23510 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23459 |
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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.