| Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC | |
|
14321 Winter Breeze Dr, Midlothian, VA 23113-2452 | |
| (833) 452-9772 | |
| (888) 442-6953 |
| Full Name | Dr Kiniya Chantera Church |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 14321 Winter Breeze Dr, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215352554 | NPI | - | NPPES |
| C04555 | Other | VA | GROUP PTAN |
| C05149 | Other | VA | GROUP PTAN |
| C05403 | Other | VA | GROUP PTAN |
| GC1103 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024171501 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024171501 (Virginia) | Primary |
| Entity Name | Mid Atlantic Long Term Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851909998 PECOS PAC ID: 8921427162 Enrollment ID: O20201007001831 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
| Entity Name | Landmark Medical Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265193874 PECOS PAC ID: 2961897780 Enrollment ID: O20220315000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC 14321 Winter Breeze Dr, Midlothian, VA 23113-2452 Ph: () - | Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC 14321 Winter Breeze Dr, Midlothian, VA 23113-2452 Ph: (833) 452-9772 |
Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318 | |
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851 | |
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265 | |
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774 | |
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525 | |
Ann Madeleine Wilson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495 | |
Jennifer Meagan Franks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Browns Way Rd, Midlothian, VA 23114 Phone: 804-419-9101 |