RACHEL LOUISE KANCIANIC (NPI# 1689756520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689756520 |
| Entity Type | Individual |
| Full Name | RACHEL LOUISE KANCIANIC |
| Other Name | MISS RACHEL LOUISE HUMPHREY |
| Credential | PA-C |
| Practice Address |
30 Shady Lane White Stone VA 22578-0046 |
| Mailing Address |
856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 |
| Practice Telephone | 8044353133 |
| Practice Fax Number | 8044351311 |
| Mailing Telephone | 7575944006 |
| Mailing Fax Number | 7575942195 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110-002418 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 SHADY LANE |
| City | WHITE STONE |
| State | VA |
| Zip Code | 22578-0046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740267277 | White Stone Family Practice | Family Medicine | 30 Shady Lane, White Stone, VA 22578-0046 | 2005-12-27 |
| 1861479339 | Linda Bergman Toney | Nurse Practitioner | 30 Shady Lane, White Stone, VA 22578 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596314 | White Stone Pharmacy, Inc. | Pharmacy | 416 Chesapeake Dr, Vsr 200, White Stone, VA 22578-0003 | 2007-01-23 |
| 1336388479 | The Family Maternity Center of The Northern Neck, Inc. | Clinic/Center | 372 Fleets Ln, White Stone, VA 22578-2019 | 2009-02-12 |
| 1194905232 | Sidney Wilson Tiesenga | Orthopaedic Surgery | 469 Coppedge Farm Rd, White Stone, VA 22578-2027 | 2007-11-06 |
| 1093725376 | Martha Kirkland | Nurse Anesthetist, Certified Registered | 279 Dawson Ln, White Stone, VA 22578-2104 | 2006-08-09 |
| 1013904168 | Brian Keith Cubbage | Family Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2005-10-04 |
| 1356738736 | Montecia Boyd Burno | Nurse Practitioner | 30 Shady Ln, White Stone, VA 22578-2601 | 2015-04-23 |
| 1184033904 | Allison Ovide | Physician Assistant | 30 Shady Ln, White Stone, VA 22578-2601 | 2014-08-06 |
| 1265662365 | Riverside Physician Services, Inc | Internal Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2009-07-23 |
| 1528211158 | Riverside Physician Services Inc | Internal Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2008-10-28 |
| 1164490157 | Jo Myers Martin | Family Medicine | 30 Shady Ln, White Stone, VA 22578-2601 | 2006-03-08 |
| Find all providers in zip 22578 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WHITE STONE |
| Zip Code | 22578 |
Please comment or provide details below to improve the information on RACHEL LOUISE KANCIANIC.
| 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.