MR. TERRY DWIGHT CRICKENBERGER (NPI# 1891063798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891063798 |
| Entity Type | Individual |
| Full Name | MR. TERRY DWIGHT CRICKENBERGER |
| Credential | NP, CNS |
| Practice Address |
1355 Richmond Ave Staunton VA 24401-9146 |
| Practice Telephone | 5403322142 |
| Practice Fax Number | 5403322209 |
| Mailing Telephone | 5403322142 |
| Mailing Fax Number | 5403322209 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2012-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0015000523 | VA | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0017139232 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1355 RICHMOND AVE |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-9146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951369 | Commonwealth Center for Children and Adolescents | Psychiatric Hospital | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2006-05-20 |
| 1831679786 | Leverne Herring | Social Worker | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2018-08-20 |
| 1619456464 | Amanda Williams | Social Worker | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2018-08-13 |
| 1588907125 | Lauren Elizabeth Moore | Psychiatry & Neurology | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2013-04-02 |
| 1700154713 | Commonwealth Center for Children and Adolescents | Psychiatric Unit | 1355 Richmond Ave, Staunton, VA 24401-9146 | 2011-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083973952 | Teresa L. Shiflett | Nurse Practitioner | 619 Miller Farm Rd., Staunton, VA 24401 | 2012-05-11 |
| 1194376020 | Jessica Clark | Nurse Practitioner | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2019-09-23 |
| 1750938502 | Muriel Hollandsworth | Nurse Practitioner | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2019-08-26 |
| 1073170353 | Nardia Renalee Storer-williams | Nurse Practitioner | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2019-05-22 |
| 1487102984 | Misty Dawn Sprouse | Nurse Practitioner | 103 Valley Center Drive, Staunton, VA 24402 | 2016-09-14 |
| 1730137886 | Nell Tharp | Nurse Practitioner | 1301 Richmond Road, Staunton, VA 24401 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
| 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.