| New Horizons Healthcare | |
|
3716 Melrose Ave Nw Roanoke VA 24017-2716 | |
| (540) 362-5158 | |
| (540) 362-1448 |
| Full Name | New Horizons Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 3716 Melrose Ave Nw, Roanoke, Virginia |
| Authorized Official Name and Position | Jonathan Stewart (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5408611263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Healthcare 3716 Melrose Ave Nw Roanoke VA 24017-2716 Ph: (540) 362-5158 | New Horizons Healthcare 3716 Melrose Ave Nw Roanoke VA 24017-2716 Ph: (540) 362-5158 |
| NPI Number | 1205815420 |
|---|---|
| Provider Enumeration Date | 01/16/2006 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 1052308632 |
|---|---|
| Medicare Enrollment ID | O20040427000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205815420 | NPI | - | NPPES |
| 007600321 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | B Alison Allsbrook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497764906 PECOS PAC ID: 0941281000 Enrollment ID: I20040526000215 |
| Provider Name | Francis M Guilfoyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518012319 PECOS PAC ID: 7618073768 Enrollment ID: I20070507000049 |
| Provider Name | Katrina Allyson Mabery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689861254 PECOS PAC ID: 6305927336 Enrollment ID: I20080116000400 |
| Provider Name | Ayesha Nazli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093922197 PECOS PAC ID: 6608976576 Enrollment ID: I20080530000302 |
| Provider Name | Teresa Ross Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700868213 PECOS PAC ID: 8426129610 Enrollment ID: I20080616000449 |
| Provider Name | Catherine C Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003025727 PECOS PAC ID: 6305911124 Enrollment ID: I20080813000847 |
| Provider Name | Angela Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689921587 PECOS PAC ID: 9739321217 Enrollment ID: I20130813000348 |
| Provider Name | Malak W Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841581295 PECOS PAC ID: 9436465473 Enrollment ID: I20150905000015 |
| Provider Name | Anja K Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881070811 PECOS PAC ID: 1052620317 Enrollment ID: I20151027003375 |
| Provider Name | Carl Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135733 PECOS PAC ID: 7416240411 Enrollment ID: I20160728001561 |
| Provider Name | David Michael Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134572449 PECOS PAC ID: 5698054666 Enrollment ID: I20161115000679 |
| Provider Name | Renee Cundiff Nauful |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063963874 PECOS PAC ID: 0042591893 Enrollment ID: I20170110001479 |
| Provider Name | Heather M Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720532062 PECOS PAC ID: 9234411398 Enrollment ID: I20170125000769 |
| Provider Name | Sabrina Lynn Royall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457996761 PECOS PAC ID: 2163851072 Enrollment ID: I20200327002450 |
| Provider Name | Amy Starlite Huddle-thomason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164780821 PECOS PAC ID: 4688004393 Enrollment ID: I20200421001305 |
| Provider Name | Kylie Ann Tangney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245879642 PECOS PAC ID: 9234560285 Enrollment ID: I20200507002243 |
| Provider Name | Walter C Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083237432 PECOS PAC ID: 9133541659 Enrollment ID: I20200629003267 |
| Provider Name | Patricia Dell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063943934 PECOS PAC ID: 6901179142 Enrollment ID: I20201013000374 |
| Provider Name | Nancy Lea Ridgley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114057072 PECOS PAC ID: 5991125502 Enrollment ID: I20201021000952 |
| Provider Name | Sarah Marie Tutolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508575598 PECOS PAC ID: 0143699116 Enrollment ID: I20221214000386 |
| Provider Name | Kaila Kristen Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689383879 PECOS PAC ID: 1254700123 Enrollment ID: I20221216001173 |
| Provider Name | Julia Kathryne Scales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659098895 PECOS PAC ID: 2668842378 Enrollment ID: I20221221000799 |
| Provider Name | Pernell Dean Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497397129 PECOS PAC ID: 7416379847 Enrollment ID: I20231018000054 |
| Provider Name | Amber J Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285353417 PECOS PAC ID: 6305292855 Enrollment ID: I20231019002958 |
| Provider Name | Luisa Fernanda Oster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447931639 PECOS PAC ID: 2668828716 Enrollment ID: I20231025001777 |
| Provider Name | Kayla Trevillian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386427060 PECOS PAC ID: 8123476793 Enrollment ID: I20231121002379 |
| Provider Name | Patricia G Spangler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811229867 PECOS PAC ID: 1254784408 Enrollment ID: I20240124002976 |
| Provider Name | Ebony Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235884669 PECOS PAC ID: 5193178473 Enrollment ID: I20240202001799 |
| Provider Name | Jessica Renee Dent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881122414 PECOS PAC ID: 3274978960 Enrollment ID: I20240305000050 |
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