MRS. TAMARA MAHR SANFORD (NPI# 1730334459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730334459 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA MAHR SANFORD |
| Credential | RD |
| Practice Address |
2204 Wilborn Ave South Boston VA 24592-1645 |
| Practice Telephone | 4345173100 |
| Practice Fax Number | 4345173168 |
| Mailing Telephone | 4345173100 |
| Mailing Fax Number | 4345173168 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
L001035 | NC | Dietary & Nutritional Service Providers |
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
L001305 | NC | Dietary & Nutritional Service Providers |
| Street Address |
2204 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668842 | Halifax Regional Hospital, Inc. | General Acute Care Hospital | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2005-06-02 |
| 1871058008 | Angeline Marie Davis | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2019-02-01 |
| 1063931897 | Jon Michael Hughes | Nurse Practitioner | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-13 |
| 1265950646 | Mara Olivia Fiorio | Dietitian, Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-09-06 |
| 1942745526 | Alisyn L. Metz | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-01-05 |
| 1255876835 | Andrew D. Metz | Nurse Anesthetist, Certified Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2017-01-05 |
| 1942743398 | Melaku Akele | Physical Therapist | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-12-01 |
| 1740730316 | Emily Silsby | Dietitian, Registered | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-10-07 |
| 1023567153 | Mulbriar Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-09-30 |
| 1205381621 | Banister River Emergency Physicians LLC | Physician Assistant | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2016-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932743192 | Viva Velocity, LLC | Dietitian, Registered | 205 Van Buren St Ste 120, Herndon, VA 20170-5336 | 2019-10-31 |
| 1154814465 | Kerri Beth Blaesser | Dietitian, Registered | 136 Lorna Doone Dr, Yorktown, VA 23692-3429 | 2018-06-11 |
| 1588037717 | Commonhealth Wellness Solutions, LLC | Dietitian, Registered | 11207 Nuckols Rd Ste B, Suite 700, Glen Allen, VA 23059-5511 | 2015-11-10 |
| 1003422619 | Darlene Acero | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2020-09-18 |
| 1982187696 | Jennifer Lynn Biehl Mayer | Dietitian, Registered | 620 John Paul Jones Cir Dept Of, Portsmouth, VA 23708-2111 | 2018-09-09 |
| 1730470386 | Linda M Weller | Dietitian, Registered | 4604 Spotsylvania Pkwy, Suite 200, Fredericksburg, VA 22408-7763 | 2011-04-29 |
| 1225329188 | Multispeciallty Health Group At Spotsylvania Regional | Dietitian, Registered | 4604 Spotsylvania Pkwy, Suite 200, Fredericksburg, VA 22408-7763 | 2011-04-27 |
| 1700066602 | Becky Lauren Campbell | Dietitian, Registered | 3600 W Broad St, Richmond, VA 23230-4915 | 2007-11-07 |
| 1992917041 | Patricia Sunko-imhof | Dietitian, Registered | 500 Hioaks Rd, Richmond, VA 23225-4061 | 2007-05-03 |
| 1518184696 | Cynthia Louise Moore | Dietitian, Registered | 415 Ray C Hunt Dr, Diabetes Education & Management Program Suite 2100, Charlottesville, VA 22908-0001 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.