LACIE MARIE JENNINGS (NPI# 1619493467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619493467 |
Entity Type | Individual |
Full Name | LACIE MARIE JENNINGS |
Credential | NNP |
Practice Address |
601 Childrens Ln Norfolk VA 23507-1910 |
Mailing Address |
976 Forest Lake Dr Apt 206 Virginia Beach VA 23464-3634 |
Practice Telephone | 7576887000 |
Enumeration Date | 2017-08-14 |
Last Update Date | 2017-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
0024174895 | VA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114407715 | Lacie Mae Jennings | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-08-14 |
Street Address |
601 CHILDRENS LN |
City | NORFOLK |
State | VA |
Zip Code | 23507-1910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003812835 | Peter M Dozier | Psychiatry & Neurology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2005-06-27 |
1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
1538767066 | Victoria M Cartagena | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-16 |
1922624790 | Kelsey Marie Stroud | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-06-17 |
1932722626 | Amanda Petroski | Specialist/Technologist, Other | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-28 |
1659994614 | Dominique A. Watt | Social Worker | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-05-26 |
1336762749 | Christopher Michael Spencer | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-05-20 |
1720608599 | Caitlin Dorman | Registered Nurse | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-04-22 |
1093335382 | Emilie Marie Heidel | Student in an Organized Health Care Education/Training Program | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-16 |
1700405107 | Erin Kelley Swartz | Genetic Counselor, MS | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2020-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
Find all providers in zip 23507 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174122535 | Kristen Marie Atkins | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2020-10-18 |
1467098574 | Blair Conrad Driver | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2019-11-24 |
1467003483 | Veronica Cory | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2019-09-20 |
1831616499 | Shauna Gadson Brady | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2017-08-24 |
1619229481 | Barbara Jean Frisinger | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2012-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174949507 | Karen Root | Nurse Practitioner | 1215 Lee St Fl 7, Charlottesville, VA 22908-0816 | 2014-03-10 |
1417191826 | Kimberly Donlon | Nurse Practitioner | 13702 Beechwood Point Rd, Midlothian, VA 23112-2529 | 2009-04-29 |
1437368420 | Marnie Smith Longest | Nurse Practitioner | 4819 Coleman Rd, Richmond, VA 23230-2505 | 2007-05-22 |
1235155227 | Cynthia Schieck | Nurse Practitioner | 13124 Lauren Ln, Midlothian, VA 23114-3160 | 2006-07-14 |
1073584652 | Angela M Wallace | Nurse Practitioner | 9300 Dewitt Loop Dept Of, Ft Belvoir, VA 22060-5285 | 2006-01-31 |
1760091052 | Sarah Putnam Curry | Nurse Practitioner | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-07-23 |
1609492727 | Kathryn Baker Moore | Nurse Practitioner | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-06-24 |
1427606714 | Kierstin Hays | Nurse Practitioner | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2019-08-29 |
1386298966 | Bethany Joy Pittman | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-07-31 |
1417500810 | Kathryn Humphrey Myers | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2019-07-24 |
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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.