MS. FREDERICA PHOENIX (NPI# 1609274059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609274059 |
| Entity Type | Individual |
| Full Name | MS. FREDERICA PHOENIX |
| Practice Address |
4793 Shallowford Cir Virginia Beach VA 23462-7924 |
| Practice Telephone | 7577350976 |
| Mailing Telephone | 7577350976 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 147587-0000-7200 | VA | Nursing Service Related Providers |
| Street Address |
4793 SHALLOWFORD CIR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457751265 | Phoenix Home Healthcare LLC | Home Health | 4793 Shallowford Cir, Virginia Beach, VA 23462-7924 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811532369 | Koren A Griffin | Home Health Aide | 172 Majestic Cir, Virginia Beach, VA 23452-1712 | 2019-11-07 |
| 1891339412 | Austin Barnes Financial Consulting Inc. | Home Health Aide | 900 Commonwealth Pl Ste 215, Virginia Beach, VA 23464-4529 | 2019-11-06 |
| 1528617719 | Ashley Marie Lewis | Home Health Aide | 1520 Stonemoss Ct Ste 300, Virginia Beach, VA 23462-5754 | 2019-09-10 |
| 1922669290 | Heavenly Hands Home Care Seevices LLC | Home Health Aide | 2301 Kenstock Dr Ste 201f, Virginia Beach, VA 23454-3304 | 2019-06-26 |
| 1033604038 | Rashard A Grier | Home Health Aide | 805 Saltmeadow Bay Arch Unit 303, Virginia Beach, VA 23451-6280 | 2018-06-22 |
| 1285149252 | Linda Simmons Carrington | Home Health Aide | 3500 Virginia Beach Blvd Ste 420, Virginia Beach, VA 23452-4445 | 2017-12-12 |
| 1922427681 | Carla Calloway | Home Health Aide | 723 Arthur Ave, Virginia Beach, VA 23452-3044 | 2014-04-10 |
| 1588965123 | Melissa Kaye Ellis El | Home Health Aide | 810 Kempsville Rd, Ste.2, Virginia Beach, VA 23464-2723 | 2010-11-13 |
| 1497087217 | Edna Romanelli | Home Health Aide | 1092 Radisson Ct, Virginia Beach, VA 23464-8902 | 2010-02-03 |
| 1154654333 | Sandree Eulandee Reid | Home Health Aide | 1801 Colonial Arms Cir, Apt 2a, Virginia Beach, VA 23454-3006 | 2009-09-06 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on MS. FREDERICA PHOENIX.
| 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.