GLADEVIEW MEDICAL LLC (NPI# 1962022392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962022392 |
| Entity Type | Organization |
| Organization Name | GLADEVIEW MEDICAL LLC |
| Practice Address |
279 Gladeview Dr Fries VA 24330-3936 |
| Practice Telephone | 2762337864 |
| Mailing Telephone | 2762337864 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | HEATHER RICHARDSON (FAMILY NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 2762337864 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Gladeview Medical LLC | 279 Gladeview Dr, Fries, Virginia 24330 |
| Street Address |
279 GLADEVIEW DR |
| City | FRIES |
| State | VA |
| Zip Code | 24330-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295861 | Dawn Bullins | Occupational Therapy Assistant | 114 East Main St, Fries, VA 24330 | 2019-10-07 |
| 1801079306 | Kelly S Vandyke | Internal Medicine | 109 Carroll Drive, Fries, VA 24330 | 2007-12-07 |
| 1649812827 | Roxanne Leigh Gravley | Physical Therapy Assistant | 114 E Main St, Fries, VA 24330 | 2019-10-09 |
| 1518450022 | Rowllins Mental Health and Wellness Center LLC | Clinic/Center | 705 E Main St, Fries, VA 24330 | 2018-06-08 |
| 1265526883 | Lifeguard,personal Emergency Response Systems, LLC | Durable Medical Equipment & Medical Supplies | 1051 Lonesome Oak Road, Fries, VA 24330-0000 | 2006-10-03 |
| 1942261847 | Fries Volunteer Fire Department Inc | Ambulance | 832 East Main Street, Fries, VA 24330-0009 | 2006-03-30 |
| 1851334197 | Fries Family Care Center PC | Family Medicine | 109 Carrol Dr, Fries, VA 24330-4532 | 2006-06-14 |
| 1811271901 | Fries Community Health Care Inc | Clinic/Center | 109 Carrol Dr, Fries, VA 24330-4532 | 2011-10-06 |
| 1710260476 | Fries Community Health Care Inc | Family Medicine | 109 Carroll Drive, Fries, VA 24330-4532 | 2011-09-20 |
| 1295851145 | Fries Family Care Center PC | Clinic/Center | 109 Carrol Dr, Fries, VA 24330-4532 | 2007-03-22 |
| Find all providers in zip 24330 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.