TAMEKA LOCKETTE FAIRFAX (NPI# 1093282295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093282295 |
| Entity Type | Individual |
| Full Name | TAMEKA LOCKETTE FAIRFAX |
| Credential | CMA |
| Practice Address |
1100 E Wendover Ave Greensboro NC 27405-6713 |
| Practice Telephone | 3366412586 |
| Mailing Telephone | 3366412596 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 2465227 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1100 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284316 | Mark David Hill | Dentist | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2006-04-14 |
| 1821605080 | Morenike Kritzer | Nurse Practitioner | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-30 |
| 1790391563 | Michelle Lee Woolverton | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-17 |
| 1841804440 | Anna Minnick | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-02 |
| 1114558483 | Samantha Scales Boyd | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-01-27 |
| 1811544729 | Rachel Duncan Hunter | Dietitian, Registered | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-08-26 |
| 1336793157 | Jahci Heath | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-07-30 |
| 1205497666 | Beverly Louya Lance | Nurse's Aide | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-06-26 |
| 1760949259 | Nigar Hasanaliyeva | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-21 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810851 | Alicia Rein | Specialist/Technologist | 2606 Mcclintock Rd Unit 106, Charlotte, NC 28205-5264 | 2018-05-08 |
| 1144614629 | Susan Connor | Specialist/Technologist | 4432 Mountain Cove Dr, Charlotte, NC 28216-7764 | 2015-03-24 |
| 1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
| 1528256344 | Jenny Little | Specialist/Technologist | 304 Trillium Rdg, Boone, NC 28607-7981 | 2007-10-05 |
| 1811032675 | Suzanne B Cox | Specialist/Technologist | 756 Fesmire St, Asheboro, NC 27205-7722 | 2007-02-20 |
| 1568529949 | Susan Hannula Stroup | Specialist/Technologist | 3263 Us Highway 70 E, Beaufort, NC 28516-7897 | 2007-01-03 |
| 1801869094 | Michelle Ann Iorio | Specialist/Technologist | 4652 Barrington Hills Ln, Garner, NC 27529-6758 | 2006-02-09 |
| 1346891611 | Jasmine Brown | Specialist/Technologist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2019-09-26 |
| 1538613302 | Brain Training Center of Charlotte | Specialist/Technologist | 10030 Edison Square Dr Nw, Concord, NC 28027-8308 | 2016-08-10 |
| 1164849733 | Michael Hodges | Specialist/Technologist | 534 Biltmore Ave, Asheville, NC 28801-4612 | 2014-03-21 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.