BAO REARDON (NPI# 1831753334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831753334 |
| Entity Type | Individual |
| Full Name | BAO REARDON |
| Credential | FNP-BC |
| Practice Address |
700 Independence Cir Virginia Beach VA 23455-6405 |
| Mailing Address |
1205 Proust Rd Virginia Beach VA 23454-6648 |
| Practice Telephone | 7574606080 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
101840471 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
700 INDEPENDENCE CIR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067822 | Geehta K Raman | Dietitian, Registered | 700 Independence Cir, Suite 3d, Virginia Beach, VA 23455-6405 | 2005-10-19 |
| 1538556832 | M.t. Curry Inc | Clinic/Center | 700 Independence Cir, Suite 1a, Virginia Beach, VA 23455-6405 | 2015-04-24 |
| 1598075913 | Abraham Mahini Mdpc | Specialist | 700 Independence Cir, Suite2c, Virginia Beach, VA 23455-6405 | 2010-10-19 |
| 1497853527 | Independence Therapy Center P C | Counselor | 700 Independence Cir, Suite 3d, Virginia Beach, VA 23455-6405 | 2006-09-20 |
| 1962517029 | Karen Ann Wernicke | Clinical Nurse Specialist | 700 Independence Cir, Suite 3d, Virginia Beach, VA 23455-6405 | 2006-08-20 |
| 1013928993 | Richard N. Valentine, Jr., P.C. | Specialist | 700 Independence Cir, Suite 3a, Virginia Beach, VA 23455-6405 | 2006-08-10 |
| 1023027760 | Marlene Judith Adams | Counselor | 700 Independence Cir, Suite 3d, Virginia Beach, VA 23455-6405 | 2006-08-05 |
| 1518924810 | Richard Nelson Valentine Jr. | Specialist | 700 Independence Cir, Suite 3a, Virginia Beach, VA 23455-6405 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980415 | Stephanie Beth Kitchen | Family Medicine | 1975 Glenn Mitchell Dr Ste 202, Virginia Beach, VA 23456-0167 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730542473 | Blue Ridge Medical Management Corporation | Family Medicine | 3175 Linden Dr, Ste 3, Bristol, VA 24202-5849 | 2016-03-31 |
| 1558891101 | Katie Danielle Buckner | Family Medicine | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2017-06-15 |
| 1811397730 | Supriya Mannepalli | Family Medicine | 935 S Main St, Farmville, VA 23901 | 2014-08-27 |
| 1184067522 | Ashtaad Dalal | Family Medicine | 500 W Annandale Rd, Falls Church, VA 22046-4205 | 2013-04-16 |
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
Please comment or provide details below to improve the information on BAO REARDON.
| 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.