CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (NPI# 1699046078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699046078 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC |
| Other Organization Name | CHKD HEALTH CENTER AT LIGHTFOOT |
| Practice Address |
119 Bulifants Blvd Williamsburg VA 23188-5709 |
| Mailing Address |
601 Childrens Ln Norfolk VA 23507-1910 |
| Practice Telephone | 7576689688 |
| Practice Fax Number | 7576688848 |
| Mailing Telephone | 7576689647 |
| Mailing Fax Number | 7576688929 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MR. DENNIS MICHAEL RYAN (SENIOR VP/CFO) |
| Authorized Official Telephone | 7576688565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CHKD Health Center at Lightfoot | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942861349 | Childrens Hospital of The Kings Daughters Inc | Durable Medical Equipment & Medical Supplies | 601 Childrens Ln, Norfolk, VA 23507-1971 | 2019-06-26 |
| 1497245963 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2018-05-10 |
| 1366983512 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 6425 Richmond Road, Williamsburg, VA 23188-7202 | 2017-03-20 |
| 1639610967 | Childrens Hospital of The Kings Daughters Inc | Clinical Medical Laboratory | 6425 Richmond Road, Williamsburg, VA 23188-7202 | 2017-03-20 |
| 1124569462 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 6425 Richmond Road, Williamsburg, VA 23188-7202 | 2017-03-20 |
| 1285173609 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 6425 Richmond Road, Williamsburg, VA 23188-7202 | 2017-02-17 |
| 1871044628 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2016-10-17 |
| 1932551496 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 3960 Virginia Beach Blvd, Virginia Beach, VA 23452-2449 | 2016-07-08 |
| 1578954590 | Childrens Hospital of The Kings Daughters Inc | Clinic/Center | 817 Volvo Pkwy, Chesapeake, VA 23320-2855 | 2015-02-12 |
| 1952659765 | Childrens Hospital of The Kings Daughters Inc | Pediatrics | 9159 Franktown Rd, Franktown, VA 23354-2254 | 2012-08-28 |
| Street Address |
119 BULIFANTS BLVD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850454 | Elizabeth De Falcon | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2005-09-07 |
| 1396107637 | Ertle Clennie Jones Jr. | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5747 | 2016-03-25 |
| 1770855157 | Childrens Hospital of The Kings Daughters Inc | Clinical Medical Laboratory | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2012-02-01 |
| 1285856948 | Amanda Scott Lereche | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-03 |
| 1982825345 | Wanda Green | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-02 |
| 1518187582 | Andrea R Harris | Occupational Therapist | 119 Bulifants Blvd, Suite B, Williamsburg, VA 23188-5709 | 2007-05-01 |
| 1447305057 | Childrens Medical Group Inc | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2007-01-24 |
| 1003850744 | Mark C Downey | Pediatrics | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-15 |
| 1366480220 | Beverly Charlier Coleman | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
| 1770521593 | Jane Francis Henley | Nurse Practitioner | 119 Bulifants Blvd, Williamsburg, VA 23188-5709 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295968907 | Aspire Rehabilitation Associates, Inc | Clinic/Center | 376 Mclaws Cir, Suite 1, Williamsburg, VA 23185-5860 | 2009-08-27 |
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| 1285285031 | Professional Therapies of Roanoke, Inc. | Clinic/Center | 209 Roanoke St Ste 1, Christiansburg, VA 24073-3035 | 2019-09-24 |
| 1184281321 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 7508 Iron Bar Ln Ste 7508, Gainesville, VA 20155-2999 | 2019-05-23 |
| 1427522846 | Dmr Team, LLC | Clinic/Center | 10637 Shannon Hill Rd, Louisa, VA 23093-6352 | 2019-01-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1083117436 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 13650 Heathcote Blvd, Gainesville, VA 20155-3344 | 2018-03-13 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC.
| 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.