KATHLEEN WYLIE (NPI# 1043784762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043784762 |
| Entity Type | Individual |
| Full Name | KATHLEEN WYLIE |
| Credential | CFM |
| Practice Address |
4252 Arendell St Ste C Morehead City NC 28557-0015 |
| Practice Telephone | 2527268068 |
| Mailing Telephone | 2527268068 |
| Mailing Fax Number | 2526384648 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | CFM03151 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4252 ARENDELL ST STE C |
| City | MOREHEAD CITY |
| State | NC |
| Zip Code | 28557-0015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1235611682 | Kayla Stanton | Pharmacist | 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 | 2018-09-02 |
| 1154823649 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5100 Highway 70 W, Morehead City, NC 28557 | 2018-03-01 |
| 1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
| 1063953123 | Carteret Landing LLC | Custodial Care Facility | 221 Friendly Road, Morehead City, NC 28557 | 2017-03-09 |
| 1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
| 1164765855 | Carly Outland Silverthorne | Social Worker | 209 N 35th St Ste A-2, Morehead City, NC 28557 | 2013-04-01 |
| 1639437981 | Jeffrey Theodore Hainsworth | Internal Medicine | 623 N 35th St, Morehead City, NC 28557 | 2012-04-24 |
| 1780993832 | Elizabeth Anne Mills | Pharmacist | 5020 Arendell St., Morehead City, NC 28557 | 2010-10-06 |
| 1306075650 | Friendly Caregivers | In Home Supportive Care | 710 Arendell St., Morehead City, NC 28557 | 2009-07-08 |
| Find all providers in zip 28557 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629515804 | Amanda Dixon | Mastectomy Fitter | 2900 Arendell St, Suite 6, Morehead City, NC 28557-3318 | 2017-01-25 |
| 1619268091 | Nell A Ring | Mastectomy Fitter | 3302 Bridges St, Suite C, Morehead City, NC 28557-2983 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355036 | Tonyan Wilson Hunter | Mastectomy Fitter | 125 E Council St, Salisbury, NC 28144-5019 | 2020-10-30 |
| 1609375310 | Teresa Medford | Mastectomy Fitter | 583 Asheville Hwy Ste 3, Sylva, NC 28779-5114 | 2018-02-08 |
| 1659801488 | Superior Home Medical, Inc | Mastectomy Fitter | 201 N Main St Ste 110, Monroe, NC 28112-4753 | 2017-06-14 |
| 1245615160 | Tiffani Ross | Mastectomy Fitter | 17436 Midnight Express Way, Cornelius, NC 28031-8180 | 2015-07-21 |
| 1558707661 | Kimberly Anne Twine | Mastectomy Fitter | 113 Baxter Ln Ste 8, Moyock, NC 27958-8792 | 2013-05-15 |
| 1811505068 | Tracy Lee Neily | Mastectomy Fitter | 3400 Executive Dr, Raleigh, NC 27609-7476 | 2020-07-14 |
| 1841827995 | Brittany Taylor White | Mastectomy Fitter | 106 Medical Dr, Elizabeth City, NC 27909-3361 | 2020-03-26 |
| 1518514041 | Cathy M Cliff | Mastectomy Fitter | 702 Jefferson St, Whiteville, NC 28472-3706 | 2019-08-20 |
| 1134689326 | Destiny S Davis | Mastectomy Fitter | 405 W 15th St, Washington, NC 27889-3524 | 2019-03-22 |
| 1104383751 | Hope Taylor-miller | Mastectomy Fitter | 1636 Tate Blvd Se, Hickory, NC 28602-4244 | 2019-03-01 |
| Find all providers with the same taxonomy | ||||
| City | MOREHEAD CITY |
| Zip Code | 28557 |
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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.