STEPHANIE KIDNEY


Address: 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363
Phone: 8005438814

STEPHANIE KIDNEY (NPI# 1801373675) 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) 1801373675
Entity Type Individual
Full Name STEPHANIE KIDNEY
Credential PNP-PC, MSN, RN, CNL
Practice Address 1300 Jefferson Park Ave
Charlottesville
VA 22903-3363
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 8005438814
Practice Fax Number 4349245539
Mailing Telephone 4342951000
Enumeration Date 2018-07-25
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
0024176404 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1300 JEFFERSON PARK AVE
City CHARLOTTESVILLE
State VA
Zip Code 22903-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555399 Bruce C Carter Ophthalmology 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2005-08-11
1760089981 Loretta Raiford Internal Medicine 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-10-01
1588270342 Rachel K Murray Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-09-17
1992321616 Kristina Marie Creadore Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-06-18
1215558762 Allison Gossen Genetic Counselor, MS 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-05-06
1508409061 Molly Stevenson Bailey Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1497398994 Rebecca Shea Turner Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1215585443 Katherine Emma Connell Nurse Practitioner 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-30
1639724263 Casey Erin Cavanagh Psychologist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-09
1679128482 Jia Yu Liu Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811471139 Jessica Tabor Cline Nurse Practitioner 900a Rio East Ct, Charlottesville, VA 22901-8040 2018-09-21
1801396767 Marissa Terry Nurse Practitioner 1300 Jefferson Park Ave Fl4, Charlottesville, VA 22908-2824 2018-02-17
1518091776 Sarah E. Roberts Nurse Practitioner 900 Rio East Ct Ste A, Charlottesville, VA 22901-8040 2007-03-16
1396393419 Marta Moore Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2019-09-02
1376007328 Kaitlyn Geib Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2019-01-24
1912410713 Kathryn Lynn Shepley Nurse Practitioner 400 Brandon Ave, Charlottesville, VA 22903-3310 2017-11-15
1467962860 Elizabeth Taylor Salajegheh Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2017-10-11
1508312612 Kelly O'connell Nurse Practitioner 1204 W Main St, 5th Floor, Charlottesville, VA 22903-2824 2016-08-29
1356896591 Alison W. Sturgill Nurse Practitioner 1204 W Main St, Charlottesville, VA 22903-2824 2016-08-17
1528433018 Karri M. Bishop Nurse Practitioner 1204 W Main St, Charlottesville, VA 22908-2824 2015-12-09
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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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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