GABRIELLE SINCLAIR (NPI# 1518494582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518494582 |
| Entity Type | Individual |
| Full Name | GABRIELLE SINCLAIR |
| Practice Address |
10543 S Crater Rd South Prince George VA 23805-7333 |
| Practice Telephone | 8044315585 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
0001248215 | VA | Nursing Service Providers |
| Street Address |
10543 S CRATER RD |
| City | SOUTH PRINCE GEORGE |
| State | VA |
| Zip Code | 23805-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699218669 | Crossroads Treatment Center of Petersburg, PC | Community/Behavioral Health | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2016-11-23 |
| 1841897832 | Bradley Daniel Demery | Registered Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-10-03 |
| 1215541321 | Brooke M Graves | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-09-04 |
| 1427669415 | Roxy T. Crawford | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-08-12 |
| 1699385385 | Cheryl Edwards Ponton | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-08-06 |
| 1942832662 | Adrian Denise Clark | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2020-02-11 |
| 1669018875 | Charlisa Rhodes | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-11-22 |
| 1245882273 | Charlise Teresa Jones | Counselor | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-07-10 |
| 1477012193 | Lashonda Charles | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-03-13 |
| 1154888220 | Valerie Deloris Graves | Licensed Practical Nurse | 10543 S Crater Rd, South Prince George, VA 23805-7333 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225677909 | Virginia Addiction Medicaid LLC | Registered Nurse | 2251 Valley Ave, Winchester, VA 22601-2755 | 2019-12-30 |
| 1306188594 | Richard Alimamy Quarshie | Registered Nurse | 3634 Tupelo Ct, Woodbridge, VA 22192-4539 | 2013-03-26 |
| 1831431048 | Catherine Attipoe | Registered Nurse | 6480 Wingate St, Alexandria, VA 22312-1643 | 2013-03-26 |
| 1346582533 | Foday Felix Sesay | Registered Nurse | 5005 Caryn Ct Apt 203, Alexandria, VA 22312-5054 | 2013-03-26 |
| 1144538992 | Florence Hagan | Registered Nurse | 4320 Wabash Pl Apt 11, Woodbridge, VA 22193-5628 | 2010-09-15 |
| 1992949887 | Katherine Margaret M. Wendell | Registered Nurse | 11609 Deer Forest Rd, Reston, VA 20194-1104 | 2009-04-23 |
| 1932257581 | Savita Kumari Sood | Registered Nurse | 7735 Island Creek Ct, Alexandria, VA 22315-5926 | 2007-01-08 |
| 1861556151 | Beverly Green Cooper | Registered Nurse | 2355-c Mill Road, Alexandria, VA 22314-4608 | 2006-12-20 |
| 1295845246 | Joyce Margaret Stuart | Registered Nurse | 6901 S Van Dorn St, Kingstowne, VA 22315-3961 | 2006-08-30 |
| 1063497469 | Denise Day Crosson | Registered Nurse | 2300 Commonwealth Dr Ste 100, Charlottesville, VA 22901-1894 | 2005-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PRINCE GEORGE |
| Zip Code | 23805 |
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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.