BENITA DAVIS BOCANEGRA


Address: 1424 Old Station Loop, Hardy, VA 24101-3600
Phone: 5407657718

BENITA DAVIS BOCANEGRA (NPI# 1962029827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962029827
Entity Type Individual
Full Name BENITA DAVIS BOCANEGRA
Practice Address 1424 Old Station Loop
Hardy
VA 24101-3600
Practice Telephone 5407657718
Mailing Telephone 5407657718
Enumeration Date 2020-06-26
Last Update Date 2020-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024179521 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1424 OLD STATION LOOP
City HARDY
State VA
Zip Code 24101-3600

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NPI Name Taxonomy Address Enumeration
1447761697 Premier Transport LLC Non-emergency Medical Transport (VAN) 12787 B.t.w. Hwy, Suite 104 #245, Hardy, VA 24101 2017-10-16
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1710540612 Margaret Carter Physical Therapist 12970 Booker T Washington Hwy, Hardy, VA 24101 2019-04-16
1598006181 Kathryn Renee Mueller Physician Assistant 282 Westlake Rd, Hardy, VA 24101 2013-03-07
1285617241 Bradley J Goad Internal Medicine 12787 Booker T Washington Hwy, Ste 104 Pmb 219, Hardy, VA 24101-0017 2005-11-23
1568093672 Premier Geriatric Solutions Pllc Internal Medicine 12787 Booker T Washington Hwy, Suite 104 #219, Hardy, VA 24101-0017 2020-01-28
1366751711 Margaret Westray Campbell Speech-Language Pathologist 49 Lakeshore Terrace Rd, Hardy, VA 24101-3501 2010-10-04
1104976000 Bonnie Gail Lemberg Radiology 1240 Commonwealth Dr, Hardy, VA 24101-3785 2007-01-11
1194797936 William F Ball Family Medicine 13423 Booker T Washington Hwy, Hardy, VA 24101-3943 2006-02-06
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1902421555 Christy Marie Clark Nurse Practitioner 516 Vance Hill Rd, Danville, VA 24540-6406 2020-06-10
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1841822194 Sharon Njuguna Nurse Practitioner 8201 Shannon Hill Rd, Richmond, VA 23229-4911 2020-02-05
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1023648086 Sherrica Minor Nurse Practitioner 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 2020-01-17
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Competitor

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City HARDY
Zip Code 24101

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Dataset Information

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.

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