| Brightview Llc | |
|
3704 Old Forest Rd Lynchburg VA 24501-6943 | |
| (833) 510-4357 | |
| (866) 460-2997 |
| Full Name | Brightview Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3704 Old Forest Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Amy Marie Nieman (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 5138347063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightview Llc 4600 Montgomery Rd Ste 400 Cincinnati OH 45212-2600 Ph: (833) 510-4357 | Brightview Llc 3704 Old Forest Rd Lynchburg VA 24501-6943 Ph: (833) 510-4357 |
| NPI Number | 1649786260 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 9032426044 |
|---|---|
| Medicare Enrollment ID | O20220401000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649786260 | NPI | - | NPPES |
| Provider Name | Gwendolyn R Yarbrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437313921 PECOS PAC ID: 1355390543 Enrollment ID: I20050114000082 |
| Provider Name | David K C Langille |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043323058 PECOS PAC ID: 4880597285 Enrollment ID: I20050415000803 |
| Provider Name | Cheri D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629162227 PECOS PAC ID: 4385689702 Enrollment ID: I20050624000997 |
| Provider Name | Laura C Toombs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427027374 PECOS PAC ID: 1355362211 Enrollment ID: I20051207000987 |
| Provider Name | David W Munter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073545232 PECOS PAC ID: 7810020823 Enrollment ID: I20100728000181 |
| Provider Name | Gilbert Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447209994 PECOS PAC ID: 7911194634 Enrollment ID: I20101207001200 |
| Provider Name | Kathleen Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487622502 PECOS PAC ID: 8224931605 Enrollment ID: I20111012000192 |
| Provider Name | Kimberly Michelle Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669726659 PECOS PAC ID: 6901043033 Enrollment ID: I20151103000881 |
| Provider Name | Kimmala S Roundtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210788 PECOS PAC ID: 0547576589 Enrollment ID: I20160805000980 |
| Provider Name | Lori Bannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073962890 PECOS PAC ID: 3375838915 Enrollment ID: I20160822002873 |
| Provider Name | Amy Lynn Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547027 PECOS PAC ID: 3375822661 Enrollment ID: I20161109000392 |
| Provider Name | Jessica Jean Pucillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780045377 PECOS PAC ID: 8628342771 Enrollment ID: I20170928000259 |
| Provider Name | Mary Kathleen Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336487404 PECOS PAC ID: 9436395779 Enrollment ID: I20170928003624 |
| Provider Name | Mary Kathryn Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790295913 PECOS PAC ID: 6103182787 Enrollment ID: I20171115000587 |
| Provider Name | Julie Sharlene Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467966507 PECOS PAC ID: 1153686316 Enrollment ID: I20180517003047 |
| Provider Name | Melissa J Kistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679051106 PECOS PAC ID: 4284970526 Enrollment ID: I20190108002284 |
| Provider Name | Cynthia Davis Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174900 PECOS PAC ID: 7416295316 Enrollment ID: I20190220000189 |
| Provider Name | Brianna Carolyn Jo Ramseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548760556 PECOS PAC ID: 8628333010 Enrollment ID: I20190726002283 |
| Provider Name | Mehran Bajoghli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699868786 PECOS PAC ID: 5698749737 Enrollment ID: I20200214001352 |
| Provider Name | Tikeama L Buckingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255725016 PECOS PAC ID: 0840611125 Enrollment ID: I20200522002652 |
| Provider Name | Charmayne Laquece Lanier Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700351798 PECOS PAC ID: 5092130757 Enrollment ID: I20200729001608 |
| Provider Name | Donna Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871796490 PECOS PAC ID: 1557781697 Enrollment ID: I20201012001603 |
| Provider Name | Alecia Sheree Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558906313 PECOS PAC ID: 6204235229 Enrollment ID: I20210525001059 |
| Provider Name | Kimberly Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467810861 PECOS PAC ID: 9830495126 Enrollment ID: I20220513001565 |
| Provider Name | Stephanie Goeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982144408 PECOS PAC ID: 9830474154 Enrollment ID: I20220520001858 |
| Provider Name | Kathleen S Levenston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063486447 PECOS PAC ID: 1759769144 Enrollment ID: I20220525001218 |
| Provider Name | Noel Annette Sanders-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316690225 PECOS PAC ID: 7214316504 Enrollment ID: I20220616000799 |
| Provider Name | Stacy Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013504588 PECOS PAC ID: 1850770975 Enrollment ID: I20220621001692 |
| Provider Name | Jordan Bayless |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912541046 PECOS PAC ID: 1658750328 Enrollment ID: I20220627001950 |
| Provider Name | Kathy Sue Trombly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679146765 PECOS PAC ID: 8820478050 Enrollment ID: I20220706002726 |
| Provider Name | Morgan Whittaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033652102 PECOS PAC ID: 1052794419 Enrollment ID: I20220817002051 |
| Provider Name | Tracy E Keisling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640483 PECOS PAC ID: 5294164190 Enrollment ID: I20221212000161 |
| Provider Name | Kimberly Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033837059 PECOS PAC ID: 3779952858 Enrollment ID: I20221212002823 |
| Provider Name | Nyzera Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124609284 PECOS PAC ID: 6204205396 Enrollment ID: I20221212003001 |
| Provider Name | Kelly A Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588170815 PECOS PAC ID: 1850633256 Enrollment ID: I20221230000230 |
| Provider Name | Tiandrea Scriven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982255980 PECOS PAC ID: 2668873175 Enrollment ID: I20230109002119 |
| Provider Name | Jennifer Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417481870 PECOS PAC ID: 7911252291 Enrollment ID: I20230110000998 |
| Provider Name | Rachel Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922774702 PECOS PAC ID: 7214314483 Enrollment ID: I20230223002037 |
| Provider Name | Jasmine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327876 PECOS PAC ID: 5294108411 Enrollment ID: I20230308001942 |
| Provider Name | Buli Borah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720793961 PECOS PAC ID: 3971976127 Enrollment ID: I20230308003177 |
| Provider Name | Dana Lowenthal |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1376808493 PECOS PAC ID: 2062714561 Enrollment ID: I20230425000741 |
| Provider Name | Terri Dejuana Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255958047 PECOS PAC ID: 4183089113 Enrollment ID: I20230427000225 |
| Provider Name | Robert Waller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1326097809 PECOS PAC ID: 8628083946 Enrollment ID: I20230508001853 |
| Provider Name | Ashlan Symone Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366161341 PECOS PAC ID: 6507220589 Enrollment ID: I20230908002078 |
| Provider Name | Benita Altidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194402073 PECOS PAC ID: 3779931944 Enrollment ID: I20231128003556 |
| Provider Name | Travis Stephen Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124687678 PECOS PAC ID: 8820447329 Enrollment ID: I20231208002774 |
| Provider Name | Ellie Camille Mulville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013786086 PECOS PAC ID: 0345692547 Enrollment ID: I20240123002341 |
| Provider Name | Anmarie Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376968818 PECOS PAC ID: 3971881715 Enrollment ID: I20240129001551 |
| Provider Name | May Sanda Soe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689384471 PECOS PAC ID: 2062859143 Enrollment ID: I20240325003197 |
| Provider Name | Elise R Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376308957 PECOS PAC ID: 1759729387 Enrollment ID: I20240402002431 |
| Provider Name | Vanessa Marie Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376261941 PECOS PAC ID: 2769924687 Enrollment ID: I20240606003890 |
| Provider Name | Rebecca Cornell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073082962 PECOS PAC ID: 1355749474 Enrollment ID: I20240619000394 |
| Provider Name | John Bingham |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1215550512 PECOS PAC ID: 8022434133 Enrollment ID: I20241025001336 |
| Provider Name | Laprecious Tierra Tarpley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861102287 PECOS PAC ID: 9638605595 Enrollment ID: I20241216002087 |
Centra Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-947-3777 Fax: 434-947-4763 | |
Taylored Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Laxton Rd Ste 200, Lynchburg, VA 24502 Phone: 434-604-0134 Fax: 434-300-5558 | |
Patrick Henry Family Services Operations Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1621 Enterprise Dr, Lynchburg, VA 24502 Phone: 434-376-2006 Fax: 434-239-4955 | |
Wellspring Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3723 Old Forest Rd, Lynchburg, VA 24501 Phone: 434-439-4822 | |
Centra Medical Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Tate Springs Rd, Lynchburg, VA 24501 Phone: 434-200-5999 | |
Peachtree Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 Leesville Road, Lynchburg, VA 24502 Phone: 434-239-1928 Fax: 434-239-8779 | |
Hill City Counseling And Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1610a Graves Mill Rd, Lynchburg, VA 24502 Phone: 434-258-0591 Fax: 434-608-0505 |