MRS. CHRISHAUNDA LAKEISH VICK (NPI# 1003299561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003299561 |
Entity Type | Individual |
Full Name | MRS. CHRISHAUNDA LAKEISH VICK |
Credential | FNP-C |
Practice Address |
4680 Us-177 Pikeville NC 27863 |
Mailing Address |
1918 Yamacraw Dr Knightdale NC 27545-7471 |
Practice Telephone | 9195873400 |
Mailing Telephone | 9199236476 |
Enumeration Date | 2015-07-02 |
Last Update Date | 2018-12-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007728 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DEA | MV3559525 | 01 |
Street Address |
4680 US-177 |
City | PIKEVILLE |
State | NC |
Zip Code | 27863 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619208071 | Faithful Family Care | Assisted Living Facility | 103 Se Railroad St, Pikeville, NC 27863 | 2010-01-26 |
1144375874 | Thigpen Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 107-111 Nw Railroad St, Pikeville, NC 27863 | 2007-01-24 |
1437206448 | Margaret Mooring Evans | Nurse Practitioner | 5413 Us 117 N, Eastern Medical Associates, Pikeville, NC 27863 | 2007-01-04 |
1013000124 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 4700 Us Highway 117 North, Pikeville, NC 27863 | 2006-10-02 |
1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
1184829038 | Countryside Living | Assisted Living Facility | 5383 Us 117 North, Pikeville, NC 27863-0335 | 2007-06-20 |
1740436989 | C&e Assisted Living, Inc | Assisted Living Facility | 109 Southeast Railroad Street, Pikeville, NC 27863-0428 | 2008-08-07 |
1710221247 | Staci Lynne Short | Physical Therapist | 117 Oak Summit Dr, Pikeville, NC 27863-8116 | 2012-11-21 |
1174867618 | S.t.a.n.d...ing, Inc | Community/Behavioral Health | 206 S Goldsboro Rd, Pikeville, NC 27863-8335 | 2012-11-21 |
1336271691 | Krystals House, LLC | Custodial Care Facility | 83 White Horse Rd, Pikeville, NC 27863-8365 | 2007-03-12 |
Find all providers in zip 27863 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174159156 | Jessica Dawn Blackburn | Nurse Practitioner | 138 Audrey Ln, Pikeville, KY 41501-2845 | 2020-03-21 |
1477018851 | Bethany Ann Boyd | Nurse Practitioner | 1391 Left Fork of Island Crk, Pikeville, KY 41501-7324 | 2019-02-09 |
1639679459 | Gina Michelle Roberts | Nurse Practitioner | 911 Bypass Rd # Clinic10, Pikeville, KY 41501-1689 | 2018-02-19 |
1518470699 | Megan Leann Johnson | Nurse Practitioner | 255 Church St Ste 102b, Pikeville, KY 41501-3476 | 2017-11-10 |
1710403274 | Kathryn Lynn Johnson | Nurse Practitioner | 101 Tiger Way, Pikeville, KY 41501-6543 | 2017-08-16 |
1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
1255881983 | Kelly Ann Hammerbeck | Nurse Practitioner | 110 Laurel Dr, Pikeville, NC 27863-8395 | 2016-10-05 |
1326591454 | Kayla Tanyee Perry | Nurse Practitioner | 3625 Main St, Pikeville, TN 37367-5319 | 2016-07-25 |
1912233214 | Pikeville Family Healthcare LLC | Nurse Practitioner | 232 Cleveland Ave., Pikeville, TN 37367-0344 | 2009-10-22 |
1205092640 | After Hours Family Care LLC | Nurse Practitioner | 274 Cassidy Blvd, Pikeville, KY 41501-1544 | 2008-08-05 |
Find all providers in PIKEVILLE |
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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.