MRS. BETTY-SHANNON PREVATT (NPI# 1003025685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003025685 |
| Entity Type | Individual |
| Full Name | MRS. BETTY-SHANNON PREVATT |
| Credential | M.A., LPA |
| Practice Address |
2601 Lake Dr Suite 103 Raleigh NC 27607-6688 |
| Mailing Address |
115 Marshfield Pl Cary NC 27513-4972 |
| Practice Telephone | 9196123348 |
| Practice Fax Number | 9197821399 |
| Mailing Telephone | 9196123348 |
| Mailing Fax Number | 9197821399 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2425 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2601 LAKE DR SUITE 103 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063472686 | Paula Yvonne Jones | Nurse Practitioner | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2006-03-27 |
| 1497084982 | Wake Endoscopy Center, LLC | Clinic/Center | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2009-12-14 |
| 1932376506 | Kerry N. Whitt | Internal Medicine | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2008-05-13 |
| 1164562005 | Neeraj Kumar Sachdeva | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-08 |
| 1497894927 | Michael P Battaglino | Internal Medicine | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1508905043 | Ronald P Schwarz | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1649319195 | Christopher John Schwarz | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1760534341 | Kimberly Thaxton Campbell | Physician Assistant | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2007-01-17 |
| 1063578961 | John Kyun Park | Obstetrics & Gynecology | 2601 Lake Dr, Suite 301, Raleigh, NC 27607-6688 | 2006-12-28 |
| 1730136870 | Sanjay Jagannath | Internal Medicine | 2601 Lake Dr, Raleigh, NC 27607-6688 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1538714175 | Rebecca Eileen Barnette | Psychologist | 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 | 2019-08-08 |
| 1851857965 | Jennifer Funaro | Psychologist | 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 | 2019-02-13 |
| 1518433010 | Sarah Filone | Psychologist | 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 | 2018-10-23 |
| 1700387545 | Jamie Grisham | Psychologist | 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 | 2018-02-27 |
| 1972002004 | Ethan R. Levine, Ph.d. | Psychologist | 11937 Straight A Way Ln, Raleigh, NC 27613-7105 | 2018-02-05 |
| 1467964379 | Tiffany Hopkins | Psychologist | 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 | 2017-11-01 |
| 1588199764 | Fitzpatrick Psychological Services | Psychologist | 111 Windel Drive, Suite 213, Raleigh, NC 27609 | 2017-04-26 |
| 1083155709 | Bennie Wheat | Psychologist | 3717 National Dr Ste 208, Raleigh, NC 27612-4877 | 2017-03-14 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.