MRS. SHARI CHISM MEDLEY (NPI# 1699372060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699372060 |
| Entity Type | Individual |
| Full Name | MRS. SHARI CHISM MEDLEY |
| Other Name | SHARI CHISM |
| Credential | NP |
| Practice Address |
1088 Bagwell Dr Scottsburg VA 24589-2709 |
| Mailing Address |
1153 Salishan Dr Halifax VA 24558-3303 |
| Practice Telephone | 4344765131 |
| Practice Fax Number | 4344765132 |
| Mailing Telephone | 4345727750 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024180189 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1088 BAGWELL DR |
| City | SCOTTSBURG |
| State | VA |
| Zip Code | 24589-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326351149 | Family Preservation Services, Inc. | Community/Behavioral Health | 1010 Scottsburg School Trl, Scottsburg, VA 24589-2530 | 2010-07-21 |
| 1053646943 | Family Preservation Services, Inc | Community/Behavioral Health | 1011 Clays Mill School Rd, Scottsburg, VA 24589-2619 | 2009-10-09 |
| 1235584244 | Pathways Youth Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Bagwell Dr, Scottsburg, VA 24589-2711 | 2016-04-27 |
| 1790024511 | Doris Doretha Chism | Community Based Residential Treatment Facility, Mental Illness | 1099 Bagwell Dr, Scottsburg, VA 24589-2712 | 2013-02-14 |
| 1164762563 | Pathways Youth Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1099 Bagwell Dr, Scottsburg, VA 24589-2712 | 2013-02-21 |
| 1114322609 | Mark Romack | Occupational Therapist | 5034 Green Level Rd, Scottsburg, VA 24589-3044 | 2014-10-27 |
| 1225501588 | Jennifer Williamson | Occupational Therapist | 5034 Green Level Rd, Scottsburg, VA 24589-3044 | 2019-01-09 |
| 1912259987 | Juanita M Carden | Case Manager/Care Coordinator | 4190 Dryburg Rd, Scottsburg, VA 24589-3122 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849056 | Christine Marie Rode-robbins | Pharmacist | 4020 Carl Thomas Dr, Scottsburg, IN 47170-8161 | 2020-10-22 |
| 1154938330 | Jason Anderson | Massage Therapist | 1621 W Lawrence Dr, Scottsburg, IN 47170-6808 | 2020-09-30 |
| 1043827991 | Andrea Marita Johnson | Counselor | 639 N Shea Rd, Scottsburg, IN 47170-8132 | 2020-09-24 |
| 1487265161 | Sherry Lynn Mcneely | Licensed Practical Nurse | 1296 N Gardner St, Scottsburg, IN 47170-1400 | 2020-08-14 |
| 1629690417 | Wellness Chiropractic Center, P.s.c. | Chiropractor | 1255 N Gardner St, Scottsburg, IN 47170-1495 | 2020-05-14 |
| 1144841677 | Donna M Dalton | Home Health Aide | 5319 N Mount Rd, Scottsburg, IN 47170-5263 | 2020-05-06 |
| 1982263414 | David Dakota Hinds-goble | Specialist/Technologist | 511 N Hyland St, Scottsburg, IN 47170-1317 | 2019-06-09 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1710542154 | Interim Healthcare Hospice of Indiana, Inc | Hospice Care, Community Based | 1255 N Gardner St Ste 101, Scottsburg, IN 47170-2400 | 2019-05-01 |
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| Find all providers in SCOTTSBURG | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| 1558989475 | Happy Minds LLC | Nurse Practitioner | 1206 Carter Braxton Ln, Williamsburg, VA 23188-7654 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 24589 |
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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.