JACQUELYN NICOLE BARISH (NPI# 1134687718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134687718 |
| Entity Type | Individual |
| Full Name | JACQUELYN NICOLE BARISH |
| Credential | FNP-C |
| Practice Address |
907 Kildaire Farm Rd Cary NC 27511-3922 |
| Mailing Address |
107 Whitehaven Ln Cary NC 27519-5879 |
| Practice Telephone | 9193196610 |
| Mailing Telephone | 3046549392 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011482 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
907 KILDAIRE FARM RD |
| City | CARY |
| State | NC |
| Zip Code | 27511-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336289065 | Raj Polavaram | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2007-02-08 |
| 1164883401 | Wake Neuropathy P.a. | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2016-03-15 |
| 1427487099 | Triangle Geriatric and Memory Clinic, Pllc | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2013-11-05 |
| 1225338304 | Piedmont Clinic of Chiropractic | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-10-23 |
| 1811209901 | Western Wake Internal Medicine | Non-Pharmacy Dispensing Site | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-07-06 |
| 1366765968 | Sean Phillips | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-03-10 |
| 1477717445 | Ramesh Babu Konduru | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2008-07-17 |
| 1760523260 | Western Wake Internal Medicine | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403076 | Iryna Vasilij Baumgartl | Nurse Practitioner | 8212 Ovation Dr, Cary, NC 27513-2644 | 2020-09-30 |
| 1831738558 | Lara Sophia Schoenebeck | Nurse Practitioner | 103 Parkway Office Ct Ste 104, Cary, NC 27518-7429 | 2019-12-27 |
| 1295398816 | Tanya Barcinas | Nurse Practitioner | 224 High House Rd Ste 104, Cary, NC 27513-4278 | 2019-04-18 |
| 1710447594 | Ali Badavi | Nurse Practitioner | 321 Bay Willow Ct, Cary, NC 27519-0111 | 2019-03-20 |
| 1639696065 | Christa Steffensmeier | Nurse Practitioner | 302 Colonades Way Ste 205, Cary, NC 27518-1603 | 2017-08-25 |
| 1285160085 | Julie Boice | Nurse Practitioner | 501 Keisler Dr, Cary, NC 27518-9325 | 2017-05-11 |
| 1225402969 | Sophia Lucille Williams | Nurse Practitioner | 115 Crescent Commons Dr Ste 100, Cary, NC 27518-8102 | 2015-11-18 |
| 1154799088 | Ashley Hudson | Nurse Practitioner | 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 | 2015-09-09 |
| 1881033306 | Ashley Amato | Nurse Practitioner | 173 High House Rd, Cary, NC 27511 | 2013-06-18 |
| 1922445212 | Hui Tseng | Nurse Practitioner | 101 Sw Cary Pkwy Ste 210, Cary, NC 27511-5562 | 2013-05-28 |
| Find all providers in CARY | ||||
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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.