LA KRISTA FANT (NPI# 1710595657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710595657 |
| Entity Type | Individual |
| Full Name | LA KRISTA FANT |
| Practice Address |
250 Flank Rd Petersburg VA 23805-9117 |
| Mailing Address |
20010 Oakland Ave South Chesterfield VA 23834-5709 |
| Practice Telephone | 8048612223 |
| Mailing Telephone | 8045904282 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 0001289588 | VA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7246 Forest Hill Ave, Richmond, VA 232251524 | 8043207901 |
| Street Address |
250 FLANK RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619924834 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2006-05-31 |
| 1437615655 | Clint Holcomb | Occupational Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2019-02-12 |
| 1518423854 | Margaret Anne Otto | Speech-Language Pathologist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2019-02-12 |
| 1003397167 | Megan Mottola | Occupational Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2018-08-27 |
| 1497235188 | Susan Humphries | Physical Therapist | 250 Flank Rd, Petersburg, VA 23805-9117 | 2018-08-21 |
| 1972044485 | Flank Leasing Co., LLC | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2017-03-16 |
| 1407226509 | Golden Physician Partners, LLC | Internal Medicine | 250 Flank Rd, Petersburg, VA 23805-9117 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590799 | Lisa Hudgin | Registered Nurse | 16511 Dixon Rd, Petersburg, MI 49270-8500 | 2020-08-28 |
| 1861935447 | Vanessa Acosta | Registered Nurse | 2817 Trarich Rd, Petersburg, VA 23805-2614 | 2016-11-30 |
| 1477906477 | Rhonda Wilder | Registered Nurse | 3101 Johnson Rd, Petersburg, VA 23805-2338 | 2016-07-14 |
| 1811351497 | Denise Campbell | Registered Nurse | 325 Deerfield Dr, Petersburg, VA 23805-2507 | 2016-04-08 |
| 1528490109 | Tonya Carter | Registered Nurse | 1700 Johnson Rd Apt 14b, Petersburg, VA 23805-1565 | 2013-08-06 |
| 1487912259 | Charlotte Chovan Eisaman | Registered Nurse | 20 W Bank Street Suite 6, District 19 Community Service Board, Petersburg, VA 23803-3279 | 2012-04-30 |
| 1316171861 | Janell Bernice Lewis | Registered Nurse | 24505 Lake Dr, Petersburg, VA 23803-9416 | 2009-05-13 |
| 1073548137 | Jacqueline E Brown | Registered Nurse | 111 Morten Ave, Petersburg, VA 23805-2749 | 2006-07-11 |
| 1912498577 | Ashley Marie Kelly | Registered Nurse | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2018-05-19 |
| 1346755840 | Mary Pat Palmerton | Registered Nurse | 20 W Bank St, Petersburg, VA 23803-3279 | 2017-12-06 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.