CHETTIA PROVOST (NPI# 1912308784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912308784 |
| Entity Type | Individual |
| Full Name | CHETTIA PROVOST |
| Credential | DC |
| Practice Address |
1240 N Pitt St Alexandria VA 22314-5600 |
| Practice Telephone | 7037390456 |
| Practice Fax Number | 7037390032 |
| Mailing Telephone | 7037390456 |
| Mailing Fax Number | 7037390032 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104557189 | VA | Chiropractic Providers |
| Street Address |
1240 N PITT ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386727329 | Icon Community Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1240 N Pitt St, Suite Ll, Alexandria, VA 22314-5600 | 2006-10-23 |
| 1003359746 | Absolute Massage Therapy | Massage Therapist | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2016-11-29 |
| 1891022455 | Dr. Cynthia Durakis, Pllc | Chiropractor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2009-11-03 |
| 1104068717 | Elite Sports Rehabilitation P C | Physical Therapist | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2009-03-27 |
| 1477799625 | Dr. Sean T. Woods, Pllc | Chiropractor | 1240 N Pitt St, Suite 100, Alexandria, VA 22314-5600 | 2008-12-17 |
| 1104083633 | Norine E Lyons | Counselor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2008-05-21 |
| 1194992792 | Barbara Reddy Hoar | Psychiatry & Neurology | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2008-05-13 |
| 1679754667 | Sean Thomas Woods | Chiropractor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2007-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955928 | Ricardo Alejandro Rodriguez-vazquez | Chiropractor | 1727 King St Ste 322, Alexandria, VA 22314-2700 | 2020-05-29 |
| 1932733839 | Alexandria Chiropractic Clinic & Rehab, LLC | Chiropractor | 101 S Whiting St Ste 213, Alexandria, VA 22304-3416 | 2020-02-28 |
| 1508405861 | Stuart Donald Rubner | Chiropractor | 1804 Broadway St Ste 125, Alexandria, MN 56308-2686 | 2020-01-03 |
| 1104384940 | Ramon A Soto | Chiropractor | 5990 Richmond Hwy Apt 1019, Alexandria, VA 22303-2752 | 2019-03-11 |
| 1104398171 | Derek Goracke | Chiropractor | 510 22nd Ave E Ste 701, Alexandria, MN 56308-4817 | 2019-01-01 |
| 1831671155 | Melissa Ownby | Chiropractor | 115 S Saint Asaph St Ste D, Alexandria, VA 22314-3177 | 2018-09-04 |
| 1962990531 | Chancellor Eugene Foulks | Chiropractor | 6454 Old Beulah St, Alexandria, VA 22315-3721 | 2018-04-28 |
| 1528560430 | Jennifer Anne Briggs | Chiropractor | 1451 Belle Haven Rd Ste 330, Alexandria, VA 22307-1201 | 2018-03-06 |
| 1598203309 | Brian A Peters Jr. | Chiropractor | 1133 Macarthur Dr Ste B, Alexandria, LA 71303-3123 | 2017-02-01 |
| 1437694718 | Landon Edward Olson | Chiropractor | 507 N Nokomis St Ste B, Alexandria, MN 56308-2353 | 2016-12-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on CHETTIA PROVOST.
| 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.