STACIE DIETTE (NPI# 1033629118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033629118 |
Entity Type | Individual |
Full Name | STACIE DIETTE |
Credential | CNM |
Practice Address |
3643 N Roxboro St Durham NC 27704-2702 |
Mailing Address |
7711 Cape Charles Dr Raleigh NC 27617-8321 |
Practice Telephone | 9194704220 |
Mailing Telephone | 9192579969 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
223493 | NC | Nursing Service Providers |
Y | 176B00000X | Midwife | 666 | NC | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7711 Cape Charles Dr, Raleigh, NC 276178321 | 9192579969 |
Street Address |
3643 N ROXBORO ST |
City | DURHAM |
State | NC |
Zip Code | 27704-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033113899 | Nirmish Shah | Internal Medicine | 3643 N Roxboro St, Durham, NC 27704-2702 | 2005-06-09 |
1548872633 | Christopher James Rogge | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-08-19 |
1801404579 | Grace L Johnson | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-07-20 |
1174147102 | Kaitlyn Elizabeth Cockerham | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-06-05 |
1306466859 | Keri Laurelle Konstant | Registered Nurse | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-04-24 |
1194351262 | Deidre Pelletier | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-03-20 |
1720618812 | Elizabeth Parker Sulentic | Nurse Practitioner | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-01-17 |
1265079131 | Melinda Yvonne House | Nurse Practitioner | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-12-10 |
1427607811 | Grace Amy Revenaugh Dreyer | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-09-09 |
1841848934 | Ann Mei Lin | Hospitalist | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689733594 | Maria S Valentin-welch | Midwife | 4101 N Roxboro Street, Durham, NC 27704 | 2006-12-06 |
1063024503 | Kandyce S. Brennan | Midwife | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-08-17 |
1497271902 | Winona Elizabeth Poulton | Midwife | 414 E Main St, Durham, NC 27701-3720 | 2017-08-16 |
1730501792 | Jennifer Oxley | Midwife | 209 E Carver St, Durham, NC 27704-2133 | 2014-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396350559 | Amanda Jones | Midwife | 1400 Copper Cir, Mebane, NC 27302-6021 | 2020-09-14 |
1659986149 | Meredith Bowden | Midwife | 4813 Wilderness Rd, Wilmington, NC 28412-7635 | 2020-09-10 |
1073133716 | Stacey Pouliot | Midwife | 6007 Chinaberry Ct, Charlotte, NC 28269-9174 | 2020-04-22 |
1124657879 | Amy Michaelson-ratcliffe | Midwife | 286 Mcpherson Rd, South Mills, NC 27976-9555 | 2020-04-05 |
1538634662 | Paige Nicole Schneider | Midwife | 70 Mckinney Rd, Weaverville, NC 28787-9649 | 2018-10-04 |
1457852410 | Elisa Self | Midwife | 11834 Carmel Lakes Dr, Charlotte, NC 28226-3603 | 2018-02-26 |
1467978957 | Bella Donna Birth & Women's Health, Pllc | Midwife | 406 W Corbett Ave, Swansboro, NC 28584-8446 | 2017-08-16 |
1396179982 | Cortney Long | Midwife | 4130 Aquadale Ln, Winston Salem, NC 27104-1404 | 2013-08-30 |
1639515885 | Teresa L Blair | Midwife | 226 Ashville Ave Ste 20, Cary, NC 27518 | 2013-05-15 |
1003158312 | Danielle Renee Wilson | Midwife | 310 New Bridge St, Jacksonville, NC 28540-4756 | 2013-03-25 |
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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.