KALA RUTHERFORD STAPLETON (NPI# 1912514209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912514209 |
| Entity Type | Individual |
| Full Name | KALA RUTHERFORD STAPLETON |
| Practice Address |
1800 Combs Rd Ste 12 Pennington Gap VA 24277-1808 |
| Mailing Address |
317 Columbo Dr Jonesville VA 24263-7870 |
| Practice Telephone | 2765464894 |
| Mailing Telephone | 2768700122 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0024180271 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 COMBS RD STE 12 |
| City | PENNINGTON GAP |
| State | VA |
| Zip Code | 24277-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653686 | Tanya L Clark | Physical Therapist | 208 Health Care Drive, Pennington Gap, VA 24277 | 2018-09-15 |
| 1780066407 | Daniel Maurer | Psychologist | Lee County Industrial Park, Hickory Flats Road, Pennington Gap, VA 24277 | 2015-06-19 |
| 1952428864 | Valerie Renee Taylor | Physical Therapy Assistant | 1565 W. Morgan Ave, Pennington Gap, VA 24277 | 2007-03-23 |
| 1043358807 | Carolyn Sue Cope | Counselor | 430 Industrial Drive, Pennington Gap, VA 24277 | 2007-02-02 |
| 1417069725 | Angela Renee Mullins-russell | Counselor | 711 W Morgan Ave, Pennington Gap, VA 24277 | 2006-08-31 |
| 1548376403 | James Monroe Roberson Jr. | Dentist | 127 South Kentucky Street, Pennington Gap, VA 24277 | 2006-08-22 |
| 1053424721 | John C. Marion-pharmacist,p.c. | Pharmacist | 1724 Combs Road, Pennington Gap, VA 24277 | 2006-08-16 |
| 1134132319 | Hossein Faiz | Surgery | Lee Regional Medical Center 1800 Combs Rd, Medical Arts Plaza Suite 2, Pennington Gap, VA 24277 | 2006-08-15 |
| 1174564389 | Pennington Gap Hma Inc | Medicare Defined Swing Bed Unit | West Morgan Avenue, Pennington Gap, VA 24277 | 2006-06-09 |
| 1033159728 | Pennington Gap Hma Inc | General Acute Care Hospital | West Morgan Ave, Pennington Gap, VA 24277 | 2006-06-08 |
| Find all providers in zip 24277 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948079 | Alissa Levine Wong | Nurse Practitioner | 8301 Arlington Blvd Ste 100, Fairfax, VA 22031-2902 | 2020-10-06 |
| 1689287583 | Teela J Walker | Nurse Practitioner | 250 Craftsman Cir, Suffolk, VA 23434-1530 | 2020-08-28 |
| 1093327876 | Jasmine Jones | Nurse Practitioner | 2828 Candlewood Cir, Chesapeake, VA 23324-3936 | 2020-08-21 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1346864725 | Karen Guidry | Nurse Practitioner | 2102 Broad Branch Cir, Richmond, VA 23238-6459 | 2020-06-02 |
| 1588285662 | Lindley Walker Abernathy | Nurse Practitioner | 25506 Courthouse Rd, Stony Creek, VA 23882-2042 | 2020-04-30 |
| 1952935777 | Janice Oh | Nurse Practitioner | 7700 Little River Tpke Ste 102, Annandale, VA 22003-2400 | 2020-03-02 |
| 1003449448 | Yasmine M Kletter | Nurse Practitioner | 15213 Addison Ln, Woodbridge, VA 22193-6223 | 2020-02-13 |
| 1770113763 | Amy Armstead | Nurse Practitioner | 620 Keswick Rd, Colonial Heights, VA 23834-1729 | 2020-01-19 |
| 1740829688 | Jin Luo | Nurse Practitioner | 3700 Joseph Siewick Dr Ste 401, Fairfax, VA 22033-1745 | 2019-12-23 |
| Find all providers with the same taxonomy | ||||
| City | PENNINGTON GAP |
| Zip Code | 24277 |
Please comment or provide details below to improve the information on KALA RUTHERFORD STAPLETON.
| 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.