MS. GILDA H. PEGRAM (NPI# 1902910417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902910417 |
| Entity Type | Individual |
| Full Name | MS. GILDA H. PEGRAM |
| Credential | CNS |
| Practice Address |
3333 S Crater Rd . Petersburg VA 23805-9276 |
| Mailing Address |
Po Box 4153 Petersburg VA 23803-0153 |
| Practice Telephone | 8048629253 |
| Mailing Telephone | 8048629253 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
0015000306 | VA | Nursing Service Providers |
| Street Address |
3333 S CRATER RD . |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021720 | Total Homecare Corporation | Durable Medical Equipment & Medical Supplies | 3333 S Crater Rd, Ste 5, Petersburg, VA 23805 | 2005-05-27 |
| 1295200681 | Commonwealth Foot and Ankle, Inc. | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2018-10-11 |
| 1518135763 | Edward Boakye M.d.,p.c | Internal Medicine | 3333 S Crater Rd, Suite 3 C, Petersburg, VA 23805-9276 | 2008-02-11 |
| 1124140918 | Back Pain Inc | Family Medicine | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2007-04-04 |
| 1225157514 | Amedisys Home Health Inc of Virginia | Home Health | 3333 S Crater Rd, Suite 4-b, Petersburg, VA 23805-9276 | 2007-03-28 |
| 1376682153 | Dr Marc Jay Pinsky PC | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2007-02-06 |
| 1699781393 | Alliance Family Health Care, PC | Family Medicine | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-08-01 |
| 1457378804 | Alliance Family Practice, PC | Nurse Practitioner | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-07-15 |
| 1386698124 | Jeffrey Hall Pinsky | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2006-05-19 |
| 1174590186 | Marc Jay Pinsky | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182315 | Amy Chappell Parke | Registered Nurse | 20 W Bank St Ste 3, Petersburg, VA 23803-3279 | 2017-08-31 |
| 1255970810 | Clint Ted Paseos | Registered Nurse | 20 W Bank St Ste 3, Petersburg, VA 23803-3279 | 2019-12-31 |
| 1952632960 | Patricia H Faison | Registered Nurse | 20 W Bank St, Petersburg, VA 23803 | 2010-01-15 |
| 1326073511 | Adelaide Cary Mason | Registered Nurse | 111 Morton Ave, Petersburg, VA 23805-2749 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764309 | Kimberly Bailey Dexter | Registered Nurse | 5647 Liberty Manor Circle, Woodbridge, VA 22193-2219 | 2020-03-09 |
| 1710521299 | Bozena Krystyna Harper | Registered Nurse | 2339 Barbour Rd, Falls Church, VA 22043-3027 | 2019-10-29 |
| 1740751163 | Darlene W. Johnson | Registered Nurse | 5000 Marta Ln, Chesapeake, VA 23321-1594 | 2018-12-11 |
| 1295132421 | Cathy D Ramey | Registered Nurse | 307 Grand Ave Ne, Coeburn, VA 24230-4052 | 2014-12-03 |
| 1205232097 | Danielle Mareene Lafollette | Registered Nurse | 494 N Main St Ste 300, Woodstock, VA 22664-1703 | 2014-11-06 |
| 1922348713 | Mary Ball Brown | Registered Nurse | 1761 Old Meadow Rd, Mc Lean, VA 22102-4315 | 2013-02-15 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1427386127 | Karen Nelson Davis | Registered Nurse | 9149 Chatham Grove Ln, Richmond, VA 23236-1163 | 2009-11-18 |
| 1497935761 | Corinne Dolores Gibson | Registered Nurse | 175 Military Ln, Gate City, VA 24251-2874 | 2007-11-05 |
| 1063541977 | Susan E. Jacobson | Registered Nurse | 3020 Javier Rd, Inova Behavioral Health, Fairfax, VA 22031-4609 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.