STEPHANIE D. HOLDERMAN (NPI# 1083215917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083215917 |
Entity Type | Individual |
Full Name | STEPHANIE D. HOLDERMAN |
Practice Address |
2520 Troy Dr Wilmington NC 28401-7661 |
Practice Telephone | 9104447086 |
Mailing Telephone | 9104447086 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
231439 | NC | Nursing Service Providers |
Street Address |
2520 TROY DR |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7661 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902825169 | Wilmington Treatment Center, Inc. | Clinic/Center | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2006-07-19 |
1902445182 | Jamie Elizabeth Mcginn | Psychiatry & Neurology | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2020-01-05 |
1932746385 | Michael Francis Nash | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7643 | 2019-12-04 |
1588151294 | Wilmington Treatment Center, Inc. | General Acute Care Hospital | 2520 Troy Dr, Wilmington, NC 28401 | 2018-04-18 |
1184030546 | Mary Jean Dowd | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2014-07-07 |
1992027288 | Sarah Elizabeth Burdette | Counselor | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2010-02-27 |
1629298872 | Bernard Gottschalk | Internal Medicine | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-04-30 |
1114056298 | The Wilmington Treatment Center | Substance Abuse Rehabilitation Facility | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841669793 | Diana L Boling | Registered Nurse | 953 S South St, Wilmington, OH 45177-2921 | 2015-09-22 |
1700125119 | Jan C. Parisi | Registered Nurse | 1902 Maryland Ave, Wilmington, DE 19805-4605 | 2013-02-05 |
1215246798 | Susan Mitchell | Registered Nurse | 1902 Maryland Ave, Wilmington, DE 19805-4605 | 2010-09-30 |
1245373281 | G. Alma Schmidt | Registered Nurse | 1601 Kirkwood Highway, Wilmington, DE 19805-4989 | 2007-02-15 |
1487760609 | Emelia Pappoe Amoako | Registered Nurse | 311 Judges Rd Ste 4e, Wilmington, NC 28405-3655 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104182 | Tamuno George | Registered Nurse | 249 Cross Current Ln, Raleigh, NC 27610-1521 | 2018-12-04 |
1518497429 | Karen Poole-dawkins | Registered Nurse | 3401 Denada Path, Durham, NC 27707-6040 | 2017-06-13 |
1457899403 | Michael Hartley | Registered Nurse | 100 Magnolia Square Ct, Aberdeen, NC 28315-2225 | 2017-02-09 |
1285172825 | Tianna Broome | Registered Nurse | 405 N Chapel St, Landis, NC 28088-1122 | 2017-02-02 |
1891184966 | Sheree Lynn Bailey | Registered Nurse | 4233 Middle Oaks Dr Apt 107, Raleigh, NC 27616-7965 | 2015-01-13 |
1255693685 | Christian Copeland Maness | Registered Nurse | 1245 Mill Race Ln, Matthews, NC 28104-2989 | 2012-06-12 |
1639470545 | Matthews Psychotherapy Associates, Pa | Registered Nurse | 1114 Sam Newell Rd, Suite C, Matthews, NC 28105 | 2010-11-09 |
1700038353 | Marcella Massenburg Atwater | Registered Nurse | 1008 Bowler Dr, Durham, NC 27703-6311 | 2008-10-15 |
1982806998 | Robert Raymond Arnold | Registered Nurse | Womack Amc Dobh, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2007-06-01 |
1083834808 | Dona H Caine-francis | Registered Nurse | 18809 W Catawba Ave, Suite 103, Cornelius, NC 28031-5547 | 2007-04-26 |
Find all providers with the same taxonomy |
City | WILMINGTON |
Zip Code | 28401 |
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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.