ADRIENNE REDDICK


Address: 17 Moat Walk Unit 140a, Fort Monroe, VA 23651-1020
Phone: 5419613057

ADRIENNE REDDICK (NPI# 1750997441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750997441
Entity Type Individual
Full Name ADRIENNE REDDICK
Credential NP
Practice Address 17 Moat Walk Unit 140a
Fort Monroe
VA 23651-1020
Practice Telephone 5419613057
Mailing Telephone 5419613057
Enumeration Date 2020-09-18
Last Update Date 2020-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024180033 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 17 MOAT WALK UNIT 140A
City FORT MONROE
State VA
Zip Code 23651-1020

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NPI Name Taxonomy Address Enumeration
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1952465981 Ronald Ellyson Physician Assistant 60 Ingalls Rd Bldg 82, Ste. 412, Fort Monroe, VA 23651-1032 2006-12-21
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1740267962 Peter David Cross Family Medicine 60 Ingalls Rd, Craven Army Health Clinic, Fort Monroe, VA 23651-1032 2005-12-29
1821202151 Mcdonald Army Health Center Clinic/Center 60 Ingalls Rd, Fort Monroe, VA 23651-1032 2007-05-09
1679637235 Tamara Williams Fox Family Medicine 60 Ingalls Rd, Building 82, Fort Monroe, VA 23651-1032 2006-12-20
1023410859 Kristi Langschied Physical Therapy Assistant 2 Fenwick Rd, Fort Monroe, VA 23651-1120 2014-09-24
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City FORT MONROE
Zip Code 23651

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Dataset Information

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.

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