MS. PAMELA LYNN HERBIG WALL (NPI# 1033386446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033386446 |
| Entity Type | Individual |
| Full Name | MS. PAMELA LYNN HERBIG WALL |
| Credential | PMHNP |
| Practice Address |
1130 Situs Ct Ste 190 Raleigh NC 27606-3391 |
| Mailing Address |
1502 W Nc Hwy 54, Ste 103 Carolina Partners In Mental Healthcare, Pllc Durham NC 27707-0001 |
| Practice Telephone | 9197923940 |
| Mailing Telephone | 9193540840 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2017-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
289390 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
533187 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 SITUS CT STE 190 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27606-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205384906 | Carolyn Namde | Registered Nurse | 1130 Situs Ct, Ste 190, Raleigh, NC 27606-3391 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831716703 | Bright Chukwemeka Igwe | Counselor | 4909 Waters Edge Drive Suite 203, 4909 Waters Edge Dr. Suite 203, Raleigh, NC 27606 | 2020-06-26 |
| 1083250831 | The Lee Way Therapy & Consulting, Pllc | Social Worker | 4909 Waters Edge Dr., Suite 200a, Raleigh, NC 27606 | 2019-11-26 |
| 1811455488 | Inimfon E Ubom | Student in an Organized Health Care Education/Training Program | 521 The Greens Cir Apt 242, Raleigh, NC 27606 | 2019-03-03 |
| 1326550658 | Care Advantage-north Carolina LLC | Registered Nurse | 3231 Avent Ferry Rd Ste 103, Raleigh, NC 27606 | 2017-10-26 |
| 1801348891 | John Riel Manalansan Garcia | Specialist/Technologist | 2411 Dunn Ave, Raleigh, NC 27606 | 2016-10-26 |
| 1134599889 | Klingensmith & Associates, Pllc | Dentist | 1009 Capability Dr., Bldg. II. Ste 100, Raleigh, NC 27606 | 2015-10-06 |
| 1487038626 | Turning Leaf Therapy Services, Pllc | Social Worker | 4909 Waters Edge Drive 200d, Raleigh, NC 27606 | 2015-07-17 |
| 1528448743 | Ashley Francis Wright | Counselor | 1601 Jones Franklin Road, Suite 104, Raleigh, NC 27606 | 2015-06-03 |
| 1598172645 | Amalya Kali Wright | Emergency Medical Technician, Basic | 5315 Dana Dr Apt F, Raleigh, NC 27606 | 2014-07-21 |
| 1710312566 | Deirdre Rushin | Counselor | 1821 Avent Ridge Rd, Apt 104, Raleigh, NC 27606 | 2013-09-12 |
| Find all providers in zip 27606 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1720490899 | Katherine Bilbro Fisher | Nurse Practitioner | 319 Chapanoke Rd Ste 120, Raleigh, NC 27603-3433 | 2014-05-23 |
| 1144651951 | Maria Agiato | Nurse Practitioner | 859 Washington St Ste A, Raleigh, NC 27605-3250 | 2013-12-04 |
| 1588091532 | Rejuvenated Minds, Pllc | Nurse Practitioner | 3719 Benson Drive, Raleigh, NC 27609-7324 | 2013-10-07 |
| 1598010803 | Linda Simpson Grimes | Nurse Practitioner | 3201 Edwards Mill Rd Ste 141, #163, Raleigh, NC 27612-5371 | 2012-07-24 |
| 1891040234 | Mary Anne Hughes | Nurse Practitioner | 8390 Six Forks Rd Ste 201, Raleigh, NC 27615-3060 | 2012-07-23 |
| 1447511779 | Rachell P Davis | Nurse Practitioner | 3719 Benson Dr, Suite 200, Raleigh, NC 27609-7324 | 2012-06-04 |
| 1992077788 | Ashley Hageman | Nurse Practitioner | 3012 Falstaff Rd, Raleigh, NC 27610 | 2012-02-08 |
| 1629372974 | Elizabeth Amos Corbett | Nurse Practitioner | 8801 Fast Park Dr Ste 107, Raleigh, NC 27617-4853 | 2010-12-30 |
| 1760573612 | Mary Elizabeth Hartsell | Nurse Practitioner | 1500 Sunday Dr Ste 200, Raleigh, NC 27607-5151 | 2006-09-27 |
| 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.