KELLY M MUCHETTI (NPI# 1568947356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568947356 |
| Entity Type | Individual |
| Full Name | KELLY M MUCHETTI |
| Other Name | KELLY M MEDEIROS |
| Practice Address |
1421 C. Kempsville Rd. Chesapeake VA 23320 |
| Mailing Address |
184 W Virignia Ave Virginia Beach VA 23452 |
| Practice Telephone | 7574105322 |
| Mailing Telephone | 7572888673 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019009524 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1421 C. KEMPSVILLE RD. |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| 1043717457 | Chesapeake Family and Implant Dentistry LLC | Preferred Provider Organization | Chesapeake Family and Implant Dentistry, 516 Innovation Dr. Suite 302, Chesapeake, VA 23320 | 2018-04-11 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474717 | Tashana Latrice Trotter | Massage Therapist | 1816 Volvo Pkwy, Chesapeake, VA 23320-8122 | 2020-10-12 |
| 1053928754 | Alex Noel | Massage Therapist | 2209 Farmer Ln Apt 4, Chesapeake, VA 23324-4031 | 2020-09-26 |
| 1760021182 | Leola Denise Greene | Massage Therapist | 1231 Bell Tower Arch, Chesapeake, VA 23324-3176 | 2020-01-02 |
| 1275178279 | Lashonda D. Ramsey | Massage Therapist | 4016 Raintree Rd Ste 120a, Chesapeake, VA 23321-3793 | 2019-11-13 |
| 1508409848 | Dolores Fleege | Massage Therapist | 1421 Kempsville Rd Ste C, Chesapeake, VA 23320-1406 | 2019-10-18 |
| 1790242501 | Phillip Lamb | Massage Therapist | 2808 Yadkin Rd, Chesapeake, VA 23323-2200 | 2019-02-28 |
| 1043784408 | Gretta V Helms | Massage Therapist | 301 Bishop St, Chesapeake, VA 23323-4050 | 2019-01-17 |
| 1427562727 | Diane Marie Perkins | Massage Therapist | 3105 Western Branch Blvd Ste 4, Chesapeake, VA 23321-5529 | 2017-11-22 |
| 1174059349 | Dwayne Fires | Massage Therapist | 734 Green Tree Cir, Apt 203, Chesapeake, VA 23320-3788 | 2017-05-10 |
| 1467632125 | Aimelie Ronquillo | Massage Therapist | 728 Hunters Quay, Chesapeake, VA 23320-6571 | 2007-11-10 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on KELLY M MUCHETTI.
| 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.