JENNIFER YEALY (NPI# 1912365347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912365347 |
| Entity Type | Individual |
| Full Name | JENNIFER YEALY |
| Credential | PA-C |
| Practice Address |
200 Memorial Dr Luray VA 22835 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5407434561 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA187741 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110005197 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Memorial Dr, Luray, VA 228351000 | 5407434561 |
| Street Address |
200 MEMORIAL DR |
| City | LURAY |
| State | VA |
| Zip Code | 22835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040684 | Page Memorial Hospital, Inc. | General Acute Care Hospital | 200 Memorial Dr, Luray, VA 22835 | 2005-06-01 |
| 1750861845 | Page Memorial Hospital, Inc. | Neurological Surgery | 200 Memorial Dr, Luray, VA 22835-1000 | 2018-08-17 |
| 1871956565 | Kathryn Texiere | Dietitian, Registered | 200 Memorial Dr, Luray, VA 22835-1000 | 2016-03-31 |
| 1225287337 | Page Memorial Hospital | Clinic/Center | 200 Memorial Dr, Luray, VA 22835-1000 | 2008-09-12 |
| 1780880971 | Page Memorial Hospital | General Acute Care Hospital | 200 Memorial Dr, Luray, VA 22835-1000 | 2007-06-25 |
| 1528109162 | Page Memorial Hospital | Ambulance | 200 Memorial Dr, Luray, VA 22835-1000 | 2007-02-08 |
| 1861552036 | Manpreet Kaur Arshi | Internal Medicine | 200 Memorial Dr, Luray, VA 22835 | 2006-12-11 |
| 1982702551 | Richard Woods Guzzardi | Emergency Medicine | 200 Memorial Dr, Luray, VA 22835-1000 | 2006-09-20 |
| 1063425338 | William Lytle Ressler | Nurse Anesthetist, Certified Registered | 200 Memorial Dr, Luray, VA 22835-1000 | 2006-08-15 |
| 1376553982 | Robert J. Sefczek | Radiology | 200 Memorial Dr, Luray, VA 22835-1000 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932652708 | Daniel Evans | Specialist/Technologist | 243 Bulldog Drive, Luray, VA 22835 | 2016-07-28 |
| 1982826251 | Mary Fleury Mayfield | Counselor | Northwestern Community Services, 23 W. Main Street, Luray, VA 22835 | 2007-05-03 |
| 1831264613 | Fang S Horng Md PC | Surgery | 218 W Page Street, Luray, VA 22835 | 2006-11-21 |
| 1437250396 | Page Memorial Hospital, Inc. | Clinic/Center | 250 Memorial Drive, Suite C, Luray, VA 22835 | 2006-09-25 |
| 1336242072 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1404 West 211 Bypass, Luray, VA 22835 | 2006-09-07 |
| 1669460788 | Page Memorial Hospital, Inc. | Home Health | 2097 Us Hwy 340 S, Luray, VA 22835 | 2005-10-12 |
| 1649272147 | James William Feeley IIi | Family Medicine | 134 General Drive, Luray, VA 22835 | 2005-08-15 |
| 1326045725 | Janet Susan Bienen | Counselor | 127 E. Main Street, Page County Counseling, Plc, Luray, VA 22835 | 2005-06-30 |
| 1730642000 | James Madison University | Psychologist | 250 Memorial Drive, Suite B, Luray, VA 22835 | 2019-04-12 |
| 1437626975 | Kaitlyn Abreu Cash | Occupational Therapy Assistant | 30 Montvue Dr, Luray, VA 22835 | 2018-11-01 |
| Find all providers in zip 22835 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
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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.