JACKI L DELO (NPI# 1700269289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700269289 |
| Entity Type | Individual |
| Full Name | JACKI L DELO |
| Credential | LFNP-C, CNOR, CRNFA |
| Practice Address |
1708 Fall Hill Ave Suite 100 Fredericksburg VA 22401-3511 |
| Practice Telephone | 5403711226 |
| Practice Fax Number | 5403712049 |
| Mailing Telephone | 5403711226 |
| Mailing Fax Number | 5403712049 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024172709 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
0001155621 | VA | Nursing Service Providers |
| Street Address |
1708 FALL HILL AVE SUITE 100 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464642 | Caleb R Massey IIi | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2005-08-10 |
| 1538692546 | Hearing Resource Center LLC | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2017-04-06 |
| 1194273938 | Nina Buckley-ess | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2016-09-21 |
| 1184172256 | Mandy Williams | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2016-09-16 |
| 1457649527 | Kimberly A Abeyta | Audiologist | 1708 Fall Hill Ave, Fredericksburg, VA 22401-3511 | 2011-07-11 |
| 1578894655 | Durell L Whittington | Audiologist | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2010-01-29 |
| 1497918981 | Heather L Bennett | Audiologist | 1708 Fall Hill Ave, Suite 200, Fredericksburg, VA 22401-3511 | 2008-07-07 |
| 1164517314 | Ear Nose and Throat and Facial Plastic Surgery Center of Frederick | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-10-04 |
| 1477579662 | Francis Xavier Buckman | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-07-14 |
| 1548217326 | John David Lieser | Otolaryngology | 1708 Fall Hill Ave, Suite 100, Fredericksburg, VA 22401-3511 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614049 | Christina Jolene Macfarlane | Nurse Practitioner | 6313 Forest Grove Dr, Fredericksburg, VA 22407-6343 | 2020-09-23 |
| 1912548876 | Carina Leite | Nurse Practitioner | 2306 Plank Rd Ste 100, Fredericksburg, VA 22401-4902 | 2019-10-02 |
| 1821643081 | Emily Torres | Nurse Practitioner | 621 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-4567 | 2019-08-05 |
| 1316468465 | Samantha Martin | Nurse Practitioner | 1975 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 2017-06-29 |
| 1568904399 | Michele Lyn Lattimer | Nurse Practitioner | 2601 Fall Hill Avenue, Fredericksburg, VA 22401 | 2016-11-10 |
| 1457757460 | Karen Julia Gardella | Nurse Practitioner | 3038 Patriot Ln, Fredericksburg, VA 22408-1728 | 2014-11-18 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1801200357 | Brooke Renae Sparks | Nurse Practitioner | 10718 Ballantraye Dr., Fredericksburg, VA 22407 | 2014-06-12 |
| 1487096731 | Carol Elizabeth Drever | Nurse Practitioner | 1301 Sam Perry Boulevard (moss Free Clinic), Suite 100, Fredericksburg, VA 22401 | 2013-07-26 |
| 1649529025 | Carlene Gordon | Nurse Practitioner | 125 Olde Greenwich Drive, Suite 220, Fredericksburg, VA 22408-4010 | 2012-08-31 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on JACKI L DELO.
| 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.