MISS IVANNA PLYMOUTH (NPI# 1083126379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083126379 |
| Entity Type | Individual |
| Full Name | MISS IVANNA PLYMOUTH |
| Credential | NP |
| Practice Address |
3400 Wake Forest Rd Raleigh NC 27609-7317 |
| Mailing Address |
4001 Tilton Dr Raleigh NC 27616-6299 |
| Practice Telephone | 9199543000 |
| Mailing Telephone | 2522682608 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5010033 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 WAKE FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916352 | Duke University Health System Inc | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2005-07-19 |
| 1023632742 | Rebecca D Griffin | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-05-29 |
| 1013536366 | Melaine Roushini Rajanayagam | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-15 |
| 1902435969 | Corey Michael Grindo | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-02 |
| 1659906303 | Nicholas P Glover | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-03-03 |
| 1982247292 | Coral Elyse Stevens Hodges | Neurological Surgery | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-21 |
| 1205477676 | Joana Lule | Hospitalist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-07 |
| 1780235119 | Melissa V Moreda | Clinical Nurse Specialist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-09-26 |
| 1871159202 | Lindsey Theresa Hanley | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-05-10 |
| 1538629829 | Megan Childs | Student in an Organized Health Care Education/Training Program | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346987 | Dana Smith | Nurse Practitioner | 3480 Wake Forest Rd Ste 414, Raleigh, NC 27609-7376 | 2019-09-20 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1336701762 | Bonnie Lauren Howard Parker | Nurse Practitioner | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610-1231 | 2019-07-05 |
| 1265901425 | John W Howell II | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2018-11-16 |
| 1922573823 | Allyssa Blaire Newton | Nurse Practitioner | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2018-10-06 |
| 1407364607 | Nkechi Ajuonuma | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2018-01-22 |
| 1558871715 | John Christopher Harville II | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607 | 2017-10-02 |
| 1851800346 | Robert John Wiltberger | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2017-09-27 |
| 1700320595 | Kathryn Star Salisbury | Nurse Practitioner | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2016-12-13 |
| 1720538671 | Jeremy Wininger | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610 | 2016-10-04 |
| Find all providers in RALEIGH | ||||
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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.