ELISABETH UPSHAW MCRAE (NPI# 1548360720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548360720 |
Entity Type | Individual |
Full Name | ELISABETH UPSHAW MCRAE |
Credential | CPNP, IBCLC |
Practice Address |
1011 E Jefferson St Charlottesville VA 22902-5354 |
Practice Telephone | 4342969161 |
Practice Fax Number | 4342961036 |
Mailing Telephone | 4342969161 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2010-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
0001063672 | VA | Nursing Service Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024063672 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1011 E JEFFERSON ST |
City | CHARLOTTESVILLE |
State | VA |
Zip Code | 22902-5354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447232905 | Lori W. Balaban | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2005-11-18 |
1962942474 | Jennifer Fontenot | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2017-03-02 |
1851743835 | Morgan Rush Newsome | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2016-07-01 |
1710307467 | Amy Malek | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902 | 2014-04-21 |
1033557541 | Sarah Catherine Wenzinger | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2013-06-06 |
1013202928 | Marion Elizabeth Szwedo | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2011-06-20 |
1205126703 | Amanda Parsons Jones | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2011-04-18 |
1720247562 | Sarah Ellen Knight | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2008-06-06 |
1184891244 | Alaina Marie Brown | Pediatrics | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2008-05-08 |
1659441608 | Pediatric Associates of Charlottesville | Audiologist | 1011 E Jefferson St, Charlottesville, VA 22902-5354 | 2006-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
Find all providers in zip 22902 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
1801396767 | Marissa Terry | Nurse Practitioner | 1300 Jefferson Park Ave Fl4, Charlottesville, VA 22908-2824 | 2018-02-17 |
1518091776 | Sarah E. Roberts | Nurse Practitioner | 900 Rio East Ct Ste A, Charlottesville, VA 22901-8040 | 2007-03-16 |
1396393419 | Marta Moore | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-09-02 |
1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
1801373675 | Stephanie Kidney | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2018-07-25 |
1912410713 | Kathryn Lynn Shepley | Nurse Practitioner | 400 Brandon Ave, Charlottesville, VA 22903-3310 | 2017-11-15 |
1467962860 | Elizabeth Taylor Salajegheh | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2017-10-11 |
1508312612 | Kelly O'connell | Nurse Practitioner | 1204 W Main St, 5th Floor, Charlottesville, VA 22903-2824 | 2016-08-29 |
1356896591 | Alison W. Sturgill | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2016-08-17 |
Find all providers in CHARLOTTESVILLE |
City | CHARLOTTESVILLE |
Zip Code | 22902 |
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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.