VERONICA ACEVEDO (NPI# 1033526405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033526405 |
| Entity Type | Individual |
| Full Name | VERONICA ACEVEDO |
| Other Name | VERONICA CARRILLO |
| Credential | PA-C |
| Practice Address |
1301 Fayetteville St Durham NC 27707-2325 |
| Practice Telephone | 9199564000 |
| Practice Fax Number | 9196672322 |
| Mailing Telephone | 9199564000 |
| Mailing Fax Number | 9196672322 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-06406 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003981 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE PTAN | 377751YL0X | 01 |
| CO | 43900232 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588214795 | Veronica L Acevedo | Nurse Practitioner | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2019-09-19 |
| 1972075596 | Veronica Acevedo | Community Health Worker | 3030 Canal St, Houston, TX 77003-1696 | 2018-12-20 |
| 1255686614 | Veronica Celia Acevedo | Social Worker | 1124 Route 94, Suite 201, New Windsor, NY 12553-7258 | 2012-07-20 |
| 1174519060 | Veronica Bolton Acevedo | Physician Assistant | 33255 9th St, Union City, CA 94587-2137 | 2005-09-26 |
| Street Address |
1301 FAYETTEVILLE ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121385 | John Thomas Witchger | Counselor | 1301 Fayetteville St, Durham, NC 27707-2325 | 2005-08-16 |
| 1417566613 | Rebecca Anne Kyle | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2020-07-24 |
| 1275195166 | Kiersten Denise Bethea | Dentist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2019-07-01 |
| 1184182206 | Ashley Disean Green | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2019-03-07 |
| 1093280117 | Isaac Yaw Boadi Nuamah | Nurse Practitioner | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-10-04 |
| 1477033835 | Edmund Christopher Horgan Iv | Physician Assistant | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-08-15 |
| 1568960219 | Dan M Dewitya | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-29 |
| 1891203519 | Steven Devere Lundeen | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-16 |
| 1982146312 | Cameron Cutler | Dietitian, Registered | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-11-16 |
| 1326598558 | Charita Kincy Mccollers | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197651 | Erika Cummings | Physician Assistant | 40 Medicine Circle Clinic 1l Duke South Clinic Bldg, Durham, NC 27710-2102 | 2018-09-10 |
| 1396237566 | Sarah Elizabeth Beatty | Physician Assistant | 1317 Southpoint Crossing Dr, Durham, NC 27713 | 2018-06-04 |
| 1225548704 | Lindsey Anna Rowe | Physician Assistant | 2301 Erwin Road Duke North Suite 2600, Room 2607a, Durham, NC 27710-0001 | 2017-10-10 |
| 1801316831 | Stefanie Nikoloas Xenakis | Physician Assistant | 2400 Broad St Ste 1, Durham, NC 27704-2662 | 2017-06-21 |
| 1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1033589577 | Andrew David Mcgraw | Physician Assistant | Duke University Medical Center Emergency, 2nd Floor 2301 Erwin Road Durham, Nc 27710, Durham, NC 27710-4699 | 2015-09-27 |
| 1093145443 | Catherine Casey Mcknight | Physician Assistant | 3458 Duke University Medical Center, Durham, NC 27710 | 2013-11-21 |
| 1013343490 | Carolyn Chyu Tashie | Physician Assistant | Duke Cancer Center 20 Duke Medicine Circle Clinic 3-2, Durham, NC 27710-4699 | 2013-09-18 |
| 1477817203 | Andrew Robert Macknair | Physician Assistant | 4225 Larchmont Rd, Apt 1021, Durham, NC 27707-5962 | 2012-06-26 |
| Find all providers in DURHAM | ||||
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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.