JACOB XAVIOR WITT (NPI# 1609306737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609306737 |
| Entity Type | Individual |
| Full Name | JACOB XAVIOR WITT |
| Credential | APRN |
| Practice Address |
3161 Shavers Ford Rd Pennington Gap VA 24277-8080 |
| Mailing Address |
Po Box 722 Jonesville VA 24263-0722 |
| Practice Telephone | 2762191503 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174585 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994828 | Jacob R Witt | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-12-19 |
| 1568989283 | Jacob Witt | Pharmacist | 1820 S Springfield Ave, Bolivar, MO 65613-2563 | 2017-08-23 |
| 1891157871 | Jacob Samuel Witt | Radiology | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2016-03-28 |
| Street Address |
3161 SHAVERS FORD RD |
| City | PENNINGTON GAP |
| State | VA |
| Zip Code | 24277-8080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653686 | Tanya L Clark | Physical Therapist | 208 Health Care Drive, Pennington Gap, VA 24277 | 2018-09-15 |
| 1780066407 | Daniel Maurer | Psychologist | Lee County Industrial Park, Hickory Flats Road, Pennington Gap, VA 24277 | 2015-06-19 |
| 1952428864 | Valerie Renee Taylor | Physical Therapy Assistant | 1565 W. Morgan Ave, Pennington Gap, VA 24277 | 2007-03-23 |
| 1043358807 | Carolyn Sue Cope | Counselor | 430 Industrial Drive, Pennington Gap, VA 24277 | 2007-02-02 |
| 1417069725 | Angela Renee Mullins-russell | Counselor | 711 W Morgan Ave, Pennington Gap, VA 24277 | 2006-08-31 |
| 1548376403 | James Monroe Roberson Jr. | Dentist | 127 South Kentucky Street, Pennington Gap, VA 24277 | 2006-08-22 |
| 1053424721 | John C. Marion-pharmacist,p.c. | Pharmacist | 1724 Combs Road, Pennington Gap, VA 24277 | 2006-08-16 |
| 1134132319 | Hossein Faiz | Surgery | Lee Regional Medical Center 1800 Combs Rd, Medical Arts Plaza Suite 2, Pennington Gap, VA 24277 | 2006-08-15 |
| 1174564389 | Pennington Gap Hma Inc | Medicare Defined Swing Bed Unit | West Morgan Avenue, Pennington Gap, VA 24277 | 2006-06-09 |
| 1033159728 | Pennington Gap Hma Inc | General Acute Care Hospital | West Morgan Ave, Pennington Gap, VA 24277 | 2006-06-08 |
| Find all providers in zip 24277 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356781900 | Ashley N Wilson | Nurse Practitioner | 121 Stacy Drive, Pennington Gap, VA 24277-1929 | 2013-06-27 |
| 1366682551 | Mona Speak | Nurse Practitioner | 282 Westgate Mall Cir Ste 110, Pennington Gap, VA 24277-2879 | 2009-02-27 |
| 1376514117 | Maryann Collins | Nurse Practitioner | 185 Redwood Ave, Suite 102, Pennington Gap, VA 24277-2599 | 2006-01-30 |
| 1942754858 | Stephanie Purvis | Nurse Practitioner | 127 Health Care Dr, Suite 8, Pennington Gap, VA 24277-2853 | 2016-08-09 |
| 1518915180 | Lisa K Deeds | Nurse Practitioner | 185 Redwood Ave, Suite 102, Pennington Gap, VA 24277-2599 | 2006-05-05 |
| 1295793388 | Barbara S Mullins | Nurse Practitioner | 1119 Lake St, Pennington Gap, VA 24277 | 2006-05-01 |
| 1417928375 | Kay Matlock | Nurse Practitioner | 602 W Morgan Ave, Suite 3, Pennington Gap, VA 24277-2036 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | PENNINGTON GAP |
| Zip Code | 24277 |
Please comment or provide details below to improve the information on JACOB XAVIOR WITT.
| 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.