Kelli C Kneisel (NPI# 1477955367, PAC ID# 3173845799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477955367 |
| PAC ID by PECOS | 3173845799 |
| Professional Enrollment ID | I20141209001394 |
| Full Name | Kelli C Kneisel |
| Organization Legal Name | GASTROINTESTINAL AND LIVER SPECIAILISTS OF TIDEWATER, PLLC |
| Address |
885 Kempsville Rd Norfolk VA 23502-3800 |
| Phone Number | 7574660165 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719886266 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 885 Kempsville Rd, Norfolk, VA 23502-3800 | 7574660165 | GASTROINTESTINAL AND LIVER SPECIAILISTS OF TIDEWATER, PLLC |
| 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 | 7574660165 | GASTROINTESTINAL AND LIVER SPECIAILISTS OF TIDEWATER, PLLC |
| Organization Legal Name | GASTROINTESTINAL AND LIVER SPECIAILISTS OF TIDEWATER, PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ma Daphnie Pasia | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| Raven O Fulgham | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435-2657 |
| Ju Fang Ma | Anesthesiology | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 |
| Tasha Nikole Stone | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 113 Gainsborough Sq, Suite 100, Chesapeake, VA 23320-1713 |
| Marisa Pirraglia | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 5839 Harbour View Blvd, Suite 200, Suffolk, VA 23435-2657 |
| Lena Jamison | Certified Registered Nurse Anesthetist | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 5839 Harbour View Blvd, Suffolk, VA 23435-2657 |
| Kenneth Gerard | Anesthesiology | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 |
| Deborah E Pantangan | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 885 Kempsville Rd, Norfolk, VA 23502-3800 |
| Cynthia Gray Rader | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 885 Kempsville Rd, Norfolk, VA 23502-3800 |
| Paula Ayers | Nurse Practitioner | Gastrointestinal and Liver Speciailists of Tidewater, Pllc | 885 Kempsville Rd, Norfolk, VA 23502-3800 |
| Street Address |
885 KEMPSVILLE RD |
| City | NORFOLK |
| State | VA |
| Zip | 23502-3800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anis Miladi | Dermatology | Integrated Dermatology of Tidewater LLC | 885 Kempsville Rd, Suite 309, Norfolk, VA 23502-3800 |
| Christine Louise Howell | Nurse Practitioner | Bon Secours Depaul Medical Center Inc | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 |
| Kelvin Hornbuckle | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| Jennie Desy | Qualified Audiologist | Ear, Nose and Throat, Ltd | 885 Kempsville Rd, Suite 304, Norfolk, VA 23502-3800 |
| Cynthia D Ferguson | Physician Assistant | Integrated Dermatology of Tidewater LLC | 885 Kempsville Rd, Suite 309, Norfolk, VA 23502-3800 |
| Kevin K Charles | Physician Assistant | Integrated Dermatology of Tidewater LLC | 885 Kempsville Rd, Suite 309, Norfolk, VA 23502-3800 |
| Alan Huy Tieu | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| John H Smith | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| David A Johnson | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| Cherissa N Wrenn | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal and Liver Specialists of Tidewater Pllc | 885 Kempsville Rd, Suite 114, Norfolk, VA 23502-3800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Desilva | Psychologist, Clinical | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Kurt K Devito | Optometry | Drs. Devito and Martin Od | 125 Janaf Sc, Norfolk, VA 23502 |
| Jean Schlichter | Clinical Social Worker | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Charles E Parker | Psychiatry | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Richard A Martin | Optometry | Drs. Devito and Martin Od | 125 Janaf Sc, Norfolk, VA 23502 |
| Kenneth J Schlichter | Clinical Psychologist | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Suite 300, Norfolk, VA 23502 |
| Paul B Rosenberg | Clinical Social Worker | Parker Schlichter and Associates | 6275 E Virigina Beach Blvd, Norfolk, VA 23502 |
| Gregg A Jensen | Psychologist, Clinical | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 | |
| Merle B Martin Ii | Psychiatry | Norfolk Psychiactric Associates PC | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 |
| Marc C De Solminihac | Psychiatry | Norfolk Psychiactric Associates PC | 6353 Ctr Dr, Suite 204, Norfolk, VA 23502-0001 |
| Find all physicians in zip 23502 | |||
| City | NORFOLK |
| Zip Code | 23502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORFOLK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelli C Kneisel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.