DR. CORLISS VONCILLE BOOKER (NPI# 1811193931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811193931 |
| Entity Type | Individual |
| Full Name | DR. CORLISS VONCILLE BOOKER |
| Credential | RN |
| Practice Address |
14101 Lyndhurst Dr Chester VA 23831-8804 |
| Practice Telephone | 8044255190 |
| Practice Fax Number | 8044255359 |
| Mailing Telephone | 8044255190 |
| Mailing Fax Number | 8044255359 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
0001085795 | VA | Nursing Service Providers |
| Street Address |
14101 LYNDHURST DR |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-8804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423946 | Jimmy Wayne Spelts | Registered Nurse | 29 Fairway Dr, Portsmouth, VA 23701-1655 | 2020-10-05 |
| 1437637303 | Frankye T. Tarmiko Myers | Registered Nurse | 8819 First Branch Ln, Chesterfield, VA 23838-5605 | 2018-08-02 |
| 1205313129 | Albertine Tubman | Registered Nurse | 778 Balls Bluff Rd Ne, Leesburg, VA 20176-4900 | 2018-07-24 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1053830208 | Ebony Feliz | Registered Nurse | 1545 Crossways Blvd., Suite 250, Chesapeake, VA 23320 | 2017-09-19 |
| 1518368802 | Annette King-miles | Registered Nurse | 450 Rosemary Ln, Danville, VA 24541-4528 | 2014-09-05 |
| 1861825267 | Leyish Minie | Registered Nurse | 9051 Tiffany Park Ct, Springfield, VA 22152-2160 | 2013-08-21 |
| 1932388501 | Beverly Jean Bethea | Registered Nurse | 4272 Berkley Ct, King George, VA 22485-5648 | 2007-10-30 |
| 1730261413 | Ynez Ann Coleman | Registered Nurse | 1607 Planters Rd, Lawrenceville, VA 23868-3350 | 2006-10-20 |
| 1740233618 | Julia Ann Mckinnis | Registered Nurse | 1320 Piney Forest Rd, Danville, VA 24540-1606 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
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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.