MRS. CYNTHIA ROSEMARY ETHERIDGE-COLEMAN (NPI# 1902428543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902428543 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA ROSEMARY ETHERIDGE-COLEMAN |
| Credential | RN |
| Practice Address |
87 Hayes St Stafford VA 22556-8603 |
| Practice Telephone | 5182093801 |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1255344 | VA | Nursing Service Providers |
| Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
1255344 | VA | Nursing Service Providers |
| N | 163WX1500X |
Registered Nurse Specialization: Ostomy Care |
1255344 | VA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | HMO, PPO | 1255344 | 01 |
| VA | 1255344 | 05 |
| Street Address |
87 HAYES ST |
| City | STAFFORD |
| State | VA |
| Zip Code | 22556-8603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686995 | In Place Health Providers LLC | Home Health | 40 Winning Colors Rd, Stafford, VA 22556 | 2020-07-11 |
| 1285284653 | Mesanhe Dolsenhe | Physician Assistant | 24008 Belleau Ave, Fpo, AA 22556 | 2019-09-17 |
| 1336661271 | Cala Booth | Licensed Practical Nurse | 48 Boundary Dr, Stafford, VA 22556 | 2017-07-12 |
| 1790130235 | Travis Cole | Contractor | 80 Cherry Hill Drive, Stafford, VA 22556 | 2016-05-03 |
| 1346536075 | Janice Soliven | Family Medicine | 95 Dunn St, Suite 123, Stafford, VA 22556 | 2011-06-21 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1952323131 | Kevin Lee Dixon | Optometrist | 120 Soaring Eagle Dr, Stafford, VA 22556 | 2006-07-24 |
| 1457381766 | Pediatric Partners of Stafford PC | Pediatrics | 110 Soaring Eagle Drive, Stafford, VA 22556 | 2006-07-03 |
| 1386138436 | Laura Massena-mazur Coutcher | Pharmacist | 1505 Stafford Market Pl, Stafford, VA 22556 | 2018-06-20 |
| Find all providers in zip 22556 | ||||
| Taxonomy Code | 163WW0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Wound Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646183 | Theresa Goodenough | Registered Nurse | 384 S Pantops Dr, Charlottesville, VA 22911-8678 | 2015-08-19 |
| 1306020920 | David M. Mercer | Registered Nurse | 680 Preddy Creek Rd, Barboursville, VA 22923-2826 | 2007-12-18 |
| 1518931823 | Donald Ray Fowler | Registered Nurse | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-02-14 |
Please comment or provide details below to improve the information on MRS. CYNTHIA ROSEMARY ETHERIDGE-COLEMAN.
| 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.