SUNNY BAKALLI SEVERANCE (NPI# 1073878252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073878252 |
| Entity Type | Individual |
| Full Name | SUNNY BAKALLI SEVERANCE |
| Credential | NP-C |
| Practice Address |
700 N Main St Stanley NC 28164-1438 |
| Practice Telephone | 7042638945 |
| Practice Fax Number | 7042632591 |
| Mailing Telephone | 7042638945 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005686 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7006512 | 05 |
| Street Address |
700 N MAIN ST |
| City | STANLEY |
| State | NC |
| Zip Code | 28164-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245419845 | Caromont Medical Group Inc | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2007-10-31 |
| 1871678110 | Fatima A Brens | Family Medicine | 700 N Main St, Stanley, NC 28164 | 2006-10-26 |
| 1588687982 | Patrice Dale Rodgers-morales | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2006-07-26 |
| 1649267956 | Russell Ian Emerson | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2005-10-03 |
| 1033106711 | Per Lykke Larsen | Family Medicine | 700 N Main St, Stanley, NC 28164-1438 | 2005-09-29 |
| 1790772325 | Michael Randolph Sikes | Physician Assistant | 700 N Main St, Stanley, NC 28164-1438 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992059430 | Stress Free Home Care | In Home Supportive Care | 717 South Main St., Stanley, NC 28164 | 2012-11-06 |
| 1235499559 | Comfort and Care Dentistry of Stanley | Dentist | 510 Highway 27 South, Stanley, NC 28164 | 2012-05-21 |
| 1912273863 | Cathleen Elizabeth Fisher | Pharmacist | 6050 South 16 North Carolina Highway, Denver, NC 28164 | 2012-03-26 |
| 1871779033 | Ronald M Cox Dds Pa | Dentist | 115 E College Street, Stanley, NC 28164 | 2008-01-17 |
| 1992996946 | Katherine R. Petersen | Dentist | 400 S Highway 27, Stanley, NC 28164 | 2007-08-06 |
| 1154482230 | Frederick Mathew Hornack Jr. | Optometrist | 204 South Main Street, Stanley, NC 28164 | 2006-12-13 |
| 1518422633 | Amber Randall | Behavior Technician | 107 Devine St, Stanley, NC 28164-1151 | 2019-02-02 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1508166125 | Stress Free Home Care | In Home Supportive Care | 1320 Steepleview Ct, Stanley, NC 28164-1574 | 2010-10-29 |
| 1821431255 | Shannon Helton Baker | Lactation Consultant, Non-RN | 2113 Virgina Ellen Ct, Stanley, NC 28164-1678 | 2013-04-16 |
| Find all providers in zip 28164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104285592 | Dana Laurae Roloff | Nurse Practitioner | 503 7th Ave Se, Stanley, ND 58784-1016 | 2016-02-15 |
| 1558780874 | Lisa Bailey Wilbanks | Nurse Practitioner | 121 Golden St, Stanley, NC 28164-1187 | 2014-04-15 |
| 1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
| 1043775554 | Jamie Parlett Jenkins | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2019-02-08 |
| 1578037099 | Kate Laukaitis Tingen | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2019-01-17 |
| 1477074516 | Nicole Nalley Tate | Nurse Practitioner | 442 S Highway 27, Stanley, NC 28164-2055 | 2017-06-28 |
| 1194129353 | Erin Colleen Harrington | Nurse Practitioner | 1120 Pine St, Stanley, WI 54768-1297 | 2014-10-17 |
| 1891102729 | Kayde Guenthner | Nurse Practitioner | 235 Medical Dr, Stanley, VA 22851-4112 | 2014-07-11 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| 1124279633 | Vonnie Jean Johnson | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2008-10-02 |
| Find all providers in STANLEY | ||||
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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.