Jerry Sourbeer Jr. · Student in an Organized Health Care Education/Training Program

717 Manor Dr, Virginia Beach, VA 23464-2811

Overview

Jerry Sourbeer Jr. is a Student in an Organized Health Care Education/Training Program practicing in Norfolk, Virginia. The National Provider Identifier (NPI) is #1538092770, which was assigned on June 6, 2026, and the registration record was last updated on June 6, 2026. The practitioner's main practice location is at 600 Gresham Dr, Norfolk, VA 23507-1904; the contact telephone number is 7573883000. The primary taxonomy of Jerry Sourbeer Jr. is Student in an Organized Health Care Education/Training Program (390200000X).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1538092770
Entity Type Individual
Provider Name DR. JERRY SOURBEER JR.
Gender Male
Credential DNP, CRNA
Practice Address 600 Gresham Dr
Norfolk
VA 23507-1904
Practice Telephone 7573883000
Mailing Address 717 Manor Dr
Virginia Beach
VA 23464-2811
Certification Date 2026-06-06
Enumeration Date 2026-06-06
Last Update Date 2026-06-06
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training Program

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Eric Haigh 650 E Indian School Rd, Phoenix, AZ 85012-1839Student in an Organized Health Care Education/Training Program2026-06-06
Harrison Scott Graber 1919 7th Ave S, Birmingham, AL 35233-2005Student in an Organized Health Care Education/Training Program2026-06-06
Taylor Thuy Do 26520 Cactus Ave, Moreno Valley, CA 92555-3927Student in an Organized Health Care Education/Training Program2026-06-06
Bianca Sjoenell 98 S Los Robles Ave, Pasadena, CA 91101-2433Student in an Organized Health Care Education/Training Program2026-06-06
Gregory Wright Hubbard Jr. 593 Eddy St, Providence, RI 02903-4923Student in an Organized Health Care Education/Training Program2026-06-06
Varsha Vintu Maliyil 3600 N Garfield St, Midland, TX 79705-6329Student in an Organized Health Care Education/Training Program2026-06-06
Allison Paige Burke 1115 W Call St, Tallahassee, FL 32304-3556Student in an Organized Health Care Education/Training Program2026-06-06
Angela Grace Hanton 98 S Los Robles Ave, Pasadena, CA 91101-2433Student in an Organized Health Care Education/Training Program2026-06-06
Alice Tucker 99 Jonathan Lucas St, Charleston, SC 29425-8900Student in an Organized Health Care Education/Training Program2026-06-06
Christopher Markosian 4590 Nash Way, Saint Louis, MO 63110-1020Student in an Organized Health Care Education/Training Program2026-06-06
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Location Information

Street Address 717 MANOR DR
City VIRGINIA BEACH
State VA
Zip Code 23464-2811
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Tracie Marie Randall 865 Woodstock Road, Virginia Beach, VA 23464Mental Health Counselor2020-08-31
Essential Healing Services, LLC 5705 Lynnhaven Parkway, Suite 104 Pmb 1144, Virginia Beach, VA 23464Professional Counselor2021-10-07
Divinefavor LLC 1014 Level Green Blvd, Virginia Beach, VA 23464Non-emergency Medical Transport (VAN)2017-01-20
Your Family Is Family Home Healthcare Services, LLC 1311 Hafford Road, Virginia Beach, VA 23464Home Health Agency2018-04-17
Joshua Hoxter 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464Chiropractor2017-08-25
Jamie Crisman 1400 Fordham Drive, Virginia Beach, VA 23464Occupational Therapist2017-09-18
Selena Baker 1832 Kempsville Road, Ste 112 #409, Virginia Beach, VA 23464Mental Health Counselor2025-09-26
Desire Haven LLC 1180 Clydesdale Lane, Virginia Beach, VA 23464Developmentally Disabled Services Day Training Agency2023-11-20
Innovative Therapy LLC 900 Commonwealth Place, Suite 365, Virginia Beach, VA 23464Behavioral Analyst2020-11-23
Wysheka Michelle Strand · Wysheka Michelle Banks 5341 Achilles Dr, Virginia Beach, VA 23464Non-emergency Medical Transport (VAN)2024-04-10
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Jerry Tucker 100 N Pacific Coast Hwy, El Segundo, CA 90245-4359Behavior Technician2026-03-20
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Jerry Allen Dds Pa 245 E Nc Highway 54 Ste 204, Durham, NC 27713-2552Dental Clinic/Center2026-04-24
Jerry Frank Liu 1 Baylor Plz # Bcm320, Houston, TX 77030-3411Student in an Organized Health Care Education/Training Program2026-03-25
Jerry Abraham 3651 Wheeler Rd, Augusta, GA 30909-6426Student in an Organized Health Care Education/Training Program2026-03-23
Jerry Joe Richter 301 W I 240 Service Rd, Oklahoma City, OK 73139-7701Peer Specialist2026-04-06
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.