CARLI MICHELLE DEITEL


Address: Uss Carter Hall, Virginia Beach, VA 23459
Phone: 7574627135

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address USS CARTER HALL
City VIRGINIA BEACH
State VA
Zip Code 23459

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City VIRGINIA BEACH
Zip Code 23459

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Dataset Information

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.

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