JOSEPH LAVALLO (NPI# 1871720003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871720003 |
| Entity Type | Individual |
| Full Name | JOSEPH LAVALLO |
| Credential | NP |
| Practice Address |
1267 Highway 54 W Suite 2200 Fayetteville GA 30214-2114 |
| Practice Telephone | 7707060051 |
| Mailing Telephone | 7707060051 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN214862 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1267 HIGHWAY 54 W SUITE 2200 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902107 | Charles William Pettus | Internal Medicine | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2005-06-15 |
| 1528466679 | Kelly Teed | Genetic Counselor, MS | 1267 Highway 54 W, Suite 4000, Fayetteville, GA 30214-2114 | 2014-12-05 |
| 1811398233 | Leah Keith | Nurse Practitioner | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2014-09-05 |
| 1083024095 | Hannah Katharine Shell | Nurse Practitioner | 1267 Highway 54 W, Ste 2200, Fayetteville, GA 30214-2114 | 2014-04-29 |
| 1407194558 | Georgia Urology Pa | Urology | 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214-2114 | 2013-01-24 |
| 1750679775 | Lilibird Pichardo | Obstetrics & Gynecology | 1267 Highway 54 W, Suite 3200, Fayetteville, GA 30214-2114 | 2011-07-11 |
| 1598080129 | David G Tian | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2010-04-07 |
| 1477714517 | Ryan K. Crisel | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2110 | 2008-06-20 |
| 1740447820 | David Jaehan Yoo | Internal Medicine | 1267 Highway 54 W, Suite 5400, Fayetteville, GA 30214-2114 | 2008-05-17 |
| 1184800534 | Sanjay Sarin | Internal Medicine | 1267 Highway 54 W, Suite 2200, Fayetteville, GA 30214-2114 | 2008-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1437614013 | Michelle N Holder | Nurse Practitioner | 249 Otter Cir, Fayetteville, GA 30215-5264 | 2019-02-07 |
| 1730684960 | Kasondra Mcdonald | Nurse Practitioner | 117 Chadwick Farms Dr, Fayetteville, TN 37334-6081 | 2018-03-29 |
| 1265985931 | Stephanie R Rives | Nurse Practitioner | 18 Ivy Dr, Fayetteville, TN 37334-7287 | 2016-07-29 |
| 1538413646 | Joseph Patrick Madelone | Nurse Practitioner | 202 Cleveland Blvd, Fayetteville, NY 13066-1104 | 2012-10-29 |
| 1063048817 | Kenita Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-03-12 |
| 1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on JOSEPH LAVALLO.
| 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.