LESLIE KOLBIG (NPI# 1558738807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558738807 |
| Entity Type | Individual |
| Full Name | LESLIE KOLBIG |
| Credential | PHARMD |
| Practice Address |
130 Executive Center Pkwy Fredericksburg VA 22401-3100 |
| Practice Telephone | 5403704468 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH235240 | MA | Pharmacy Service Providers |
| Street Address |
130 EXECUTIVE CENTER PKWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659322659 | Fu-yu Chiang | Internal Medicine | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-05-14 |
| 1447650627 | Delisa Stanfill Showers | Nurse Practitioner | 130 Executive Center Pkwy, Hbpc, Fredericksburg, VA 22401-3100 | 2014-08-25 |
| 1225470065 | Saundra Delphine Mercer | Social Worker | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2013-07-22 |
| 1396025698 | Kelly Jensen Wade | Psychologist | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2011-08-18 |
| 1992090021 | Sangil Park | Psychiatry & Neurology | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2011-06-16 |
| 1497878961 | Brychan K.m. Clark | Internal Medicine | 130 Executive Center Pkwy, Mcguire Va Clinic Fredericksburg Cboc, Fredericksburg, VA 22401-3100 | 2007-04-09 |
| 1942226311 | Dolores A Lindblom | Counselor | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-07-15 |
| 1023058591 | Robert H Seamon | Internal Medicine | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-06-06 |
| 1093752099 | Richmond Vamc | Clinic/Center | 130 Executive Center Pkwy, Fredericksburg, VA 22401-3100 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780970723 | Jeanie Lynn Sadler | Pharmacist | 4108 Longwood Drive, Fredericksburg, VA 22408 | 2011-06-28 |
| 1093989592 | Moges K Tekle | Pharmacist | 2567 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2008-04-15 |
| 1861030637 | Amalea Suzette Gray | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-12 |
| 1194363929 | Lori Beth Feldman | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1114557519 | Phillip Ryan Gray | Pharmacist | 2821 Hicks Road, North Chesterfield, VA 23235-0000 | 2020-01-24 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1386124303 | Thomas W Taylor | Pharmacist | 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 | 2018-08-20 |
| 1659886539 | Oscar Macapobre | Pharmacist | 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 | 2017-12-13 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.