Juliette B Staples (NPI# 1023566908, PAC ID# 4880975739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023566908 |
| PAC ID by PECOS | 4880975739 |
| Professional Enrollment ID | I20170109000273 |
| Full Name | Juliette B Staples |
| Organization Legal Name | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
| Address |
2809 N Ave Suite 206 Richmond VA 23222-3647 |
| Phone Number | 8045251818 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638064850 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490032 | MEDICAL COLLEGE OF VIRGINIA HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 2809 N Ave, Suite 206, Richmond, VA 23222-3647 | 8045251818 | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
| Organization Legal Name | VERNON J HARRIS EAST END COMMUNITY HEALTH CENTER |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ine-ibiye Priye Saka | Nurse Practitioner | Vernon J Harris East End Community Health Center | 1500 N Lombardy St, Richmond, VA 23220-1711 |
| Veronica Ada Ayala-sims | Internal Medicine | Vernon J Harris East End Community Health Center | 719 N 25th St, Richmond, VA 23223-6539 |
| Dianne L Reynolds Cane | General Practice | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Dayna M Vango | Nurse Practitioner | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Carolyn Schmutz Leonard | Nurse Practitioner | Vernon J Harris East End Community Health Center | 719 N 25th St, Richmond, VA 23223-6539 |
| Rodrigo S Santillan | Physician Assistant | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Nicole A Cole | Nurse Practitioner | Vernon J Harris East End Community Health Center | 719 N 25th St, Richmond, VA 23223-6539 |
| Sarah E Deboer | Family Medicine | Vernon J Harris East End Community Health Center | 719 N 25th St, Richmond, VA 23223-6539 |
| Malinda A Brooks Williams | Family Medicine | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Mara J Dominguez | Nurse Practitioner | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Street Address |
2809 N AVE SUITE 206 |
| City | RICHMOND |
| State | VA |
| Zip | 23222-3647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianne L Reynolds Cane | General Practice | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Dayna M Vango | Nurse Practitioner | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Rodrigo S Santillan | Physician Assistant | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Malinda A Brooks Williams | Family Medicine | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Mara J Dominguez | Nurse Practitioner | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| G Joy E Zeh | Nurse Practitioner | Vernon J Harris East End Community Health Center | 2809 N Ave, Suite 206, Richmond, VA 23222-3647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela E Hamilton-stubbs | Neurology | 208 E Brookland Park Blvd, Richmond, VA 23222-0044 | |
| Paula J Jean | Psychologist, Clinical | 907 Westwood Ave, Richmond, VA 23222-2533 | |
| Berna A Seabrook | Nurse Practitioner | Bon Secours-virginia Healthsource Inc | 2421 Chamberlayne Ave, Richmond, VA 23222-4205 |
| Harold T Green | Gastroenterology | Bon Secours-virginia Healthsource Inc | 2421 Chamberlayne Ave, Richmond, VA 23222-4205 |
| Denise L Borden | Internal Medicine | Bon Secours-virginia Healthsource Inc | 2421 Chamberlayne Ave, Richmond, VA 23222-4205 |
| City | RICHMOND |
| Zip Code | 23222 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RICHMOND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Juliette B Staples.
| 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.