FAYETTEVILLE STATE UNIVERSITY/DEPT OF NURSING (NPI# 1053575233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053575233 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE STATE UNIVERSITY/DEPT OF NURSING |
| Practice Address |
1200 Murchison Road The Spaulding Building Fayetteville NC 28301-4252 |
| Practice Telephone | 9106722602 |
| Practice Fax Number | 9106721366 |
| Mailing Telephone | 9106722602 |
| Mailing Fax Number | 9106721366 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | MRS. VINETTE EILY GORDON (DIRECTOR STUDENT HEALTH CENTER) |
| Authorized Official Telephone | 9106722602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 46437 | NC | Hospitals |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1200 MURCHISON ROAD THE SPAULDING BUILDING |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851712616 | Universal Health Screening Services | Clinic/Center | 114 Anderson St, Fayetteville, NC 28301-5014 | 2013-12-21 |
| 1649522772 | Health Chex Medical Weight Loss & Wellness Center Inc. | Clinic/Center | 1572 Highway 85 N Ste 340, Fayetteville, GA 30214-7729 | 2012-10-12 |
| 1083898589 | Southern Ave Rest Home | Clinic/Center | 1124 Southern Ave, Fayetteville, NC 28306-1754 | 2007-12-20 |
| 1487838975 | Daisy C. Palms Adult Care, Inc | Clinic/Center | 1715 Stratford Rd, Fayetteville, NC 28304-1425 | 2007-12-20 |
| 1871622621 | Doc's Clinic and Institute, Plc | Clinic/Center | 4220 N Crossover Rd, Fayetteville, AR 72703-4593 | 2007-03-05 |
| 1700808755 | Northstar Partnering Group, LLC | Clinic/Center | 2458 E Joyce Blvd, Suite 1, Fayetteville, AR 72703-4519 | 2006-07-25 |
| 1063990281 | Fayetteville State University | Clinic/Center | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-07-31 |
| 1790282879 | Aprn Medical LLC | Clinic/Center | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460603 | Fonshaunna Alston | Clinic/Center | 107 Grandimere Ct, Durham, NC 27703-9613 | 2020-09-04 |
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1790306819 | Aeroflow Connect LLC | Clinic/Center | 3165 Sweeten Creek Rd, Asheville, NC 28803-2115 | 2020-04-29 |
| 1811518244 | Haven Total Wellness, Pllc | Clinic/Center | 149 Woodlawn St Suite C, West End, NC 27376 | 2020-04-27 |
| 1073156931 | Coastal Carolina Primary Care, Pllc | Clinic/Center | 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443-0016 | 2019-10-23 |
| 1396303178 | Chiroduo | Clinic/Center | 6816 Ray Rd, Raleigh, NC 27613-3237 | 2019-06-05 |
| 1780147108 | Legacy Health Pa | Clinic/Center | 3049 Senna Dr, Matthews, NC 28105-6727 | 2019-04-11 |
| 1114496502 | Acupuncture Balanced Health | Clinic/Center | 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 | 2018-11-15 |
| 1972071884 | Our Health Lab Inc | Clinic/Center | 1411 Asheville Hwy, Hendersonville, NC 28791-2301 | 2018-11-08 |
| 1679041552 | Serenity Rehabilitation Services | Clinic/Center | 2216 W Meadowview Rd Ste 201, Greensboro, NC 27407-3401 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on FAYETTEVILLE STATE UNIVERSITY/DEPT OF NURSING.
| 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.