MELVIN ENDERES (NPI# 1710584792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710584792 |
Entity Type | Individual |
Full Name | MELVIN ENDERES |
Credential | ATC |
Practice Address |
42678 Frontier Dr Brambleton VA 20148-7207 |
Practice Telephone | 5718880852 |
Mailing Telephone | 5718880852 |
Enumeration Date | 2020-10-02 |
Last Update Date | 2020-10-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
Street Address |
42678 FRONTIER DR |
City | BRAMBLETON |
State | VA |
Zip Code | 20148-7207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902447550 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 23684 Strickland Drive, Ashburn, VA 20148 | 2019-10-04 |
1932760196 | Gino Vc, Dds, Pllc | Clinic/Center | 22420 Flagstaff Plaza, Suite 150, Ashburn, VA 20148 | 2019-06-27 |
1396241907 | Shawnda Williams Saul | Speech-Language Pathologist | 2100 Education Court, Ashburn, VA 20148 | 2018-04-03 |
1558879973 | Gianfranco Acevedo | Non-emergency Medical Transport (VAN) | 22535 Welborne Manor Sq, Ashburn, VA 20148 | 2018-01-19 |
1255855797 | Juan Pablo Duran | Physical Therapist | 42365 Soave Dr Ste 200, Brambleton, VA 20148 | 2017-07-26 |
1972918670 | Ashley Passarelli | Speech-Language Pathologist | 21000 Education Ct., Ashburn, VA 20148 | 2014-06-23 |
1326396474 | Mary Elizabeth Creagh | Speech-Language Pathologist | 21000 Education Court, Ashburn, VA 20148 | 2012-08-21 |
1770838971 | Harris Teeter LLC | Pharmacy | 43315 Crandall Square, Ashburn, VA 20148 | 2012-07-13 |
1326308834 | Shilpa Arimanda | Physical Therapist | 43356 Barnstead Dr, Ashburn, VA 20148 | 2012-05-18 |
1760750988 | Minhhieu Nguyen | Pharmacist | 43776 Maison Blanc Square, Ashburn, VA 20148 | 2011-12-02 |
Find all providers in zip 20148 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891520 | Frank Chilli | Student in an Organized Health Care Education/Training Program | 5 Oakland Dr, Newport News, VA 23601-3622 | 2020-11-08 |
1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
1487253357 | James Joseph Hansler | Student in an Organized Health Care Education/Training Program | 1795 Saint Andrews Cir, Blacksburg, VA 24060-0252 | 2020-10-22 |
1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
1982201760 | Jaime Lyn Van Kirk | Student in an Organized Health Care Education/Training Program | 233 Padgetts Ordinary, Williamsburg, VA 23185-5578 | 2020-10-05 |
1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
Find all providers with the same taxonomy |
City | BRAMBLETON |
Zip Code | 20148 |
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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.