MR. DAVID JONATHAN ANDERSON


Address: 198 Ross Carter Blvd, Duffield, VA 24244-5117
Phone: 2764312904

MR. DAVID JONATHAN ANDERSON (NPI# 1902314016) 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) 1902314016
Entity Type Individual
Full Name MR. DAVID JONATHAN ANDERSON
Credential M.ED.
Practice Address 198 Ross Carter Blvd
Duffield
VA 24244-5117
Mailing Address 1200 Southwest Ave
Johnson City
TN 37604-6520
Practice Telephone 2764312904
Enumeration Date 2018-01-11
Last Update Date 2018-01-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

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Office Location

Street Address 198 ROSS CARTER BLVD
City DUFFIELD
State VA
Zip Code 24244-5117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154502532 Pamela Beaver Wells Nurse Practitioner 198 Ross Carter Blvd, Duffield, VA 24244-5117 2007-11-14
1992292908 Heather Ison Counselor 198 Ross Carter Blvd, Duffield, VA 24244-5117 2018-04-16
1609327915 Watauga Duffield Medical Center, P.C. Family Medicine 198 Ross Carter Blvd, Duffield, VA 24244-5117 2016-10-21
1831548247 Adrian Scott Thacker Nurse Practitioner 198 Ross Carter Blvd, Duffield, VA 24244-5117 2016-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144646944 Family Preservation Services, Inc. Community/Behavioral Health 355 Cecil D. Quillen Drive, Duffield, VA 24244 2014-03-17
1063710804 Family Preservation Services, Inc Early Intervention Provider Agency 225 Boone Trail Road, Duffield, VA 24244 2011-03-03
1689998189 Richard S Nicholas Naturopath 121 Advanced Technology Drive, Duffield, VA 24244 2010-03-26
1508042813 Family Preservation Services, Inc Community/Behavioral Health 663 Duff-patt Highway, Duffield, VA 24244 2008-01-16
1225152903 Jon Delmes Holmes Technician, Other 1100 Us Hwy 58, Doffield, VA 24244 2007-03-19
1255455937 Francis Clark Roach Technician, Other 103 Fraley Avenue, Park Place, Duffield, VA 24244 2007-03-19
1902920036 Lawrence Ray Castle Counselor 4907 Boonetrail Rd, Independence Unlimited, Duffield, VA 24244 2007-03-16
1598803892 Brandi Suzette Dingus Counselor 1100 Hwy 58, Duffield, VA 24244 2007-02-01
1811035165 Elois P Wampler Counselor 4907 Boone Trail Road, Indpendence Unlimited, Duffield, VA 24244 2007-02-01
1235280892 Frontier Health Day Training, Developmentally Disabled Services 4907 Boone Trail Rd, Duffield, VA 24244 2007-01-12
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1346867058 Kristin Fitzgerald Counselor 2320 Broad Rock Blvd, Richmond, VA 23224-4812 2020-06-29
1861019754 Sandra Hill Counselor 6900 Mimms Dr, Chesterfield, VA 23832 2020-06-26
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Competitor

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City DUFFIELD
Zip Code 24244

Improve Information

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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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