MS. KATIE JEAN POOLE


Address: 509 Sandhurst Dr, Fayetteville, NC 28304-4433
Phone: 9104844233

MS. KATIE JEAN POOLE (NPI# 1144466921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144466921
Entity Type Individual
Full Name MS. KATIE JEAN POOLE
Credential CPNP
Practice Address 509 Sandhurst Dr
Fayetteville
NC 28304-4433
Practice Telephone 9104844233
Practice Fax Number 9104842990
Mailing Telephone 9104844233
Mailing Fax Number 9104842990
Enumeration Date 2008-12-27
Last Update Date 2013-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
5004257 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATIE POOLE

NPI Name Taxonomy Address Enumeration
1326343294 Katie Mw Poole Physical Therapy Assistant 2601 Reynolda Rd, Winston Salem, NC 27106-3863 2011-01-24

Office Location

Street Address 509 SANDHURST DR
City FAYETTEVILLE
State NC
Zip Code 28304-4433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902912397 Ogie Elekhuoba Asemota Pediatrics 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2006-08-21
1386031284 Adeola Adetola Akinlonu Student in an Organized Health Care Education/Training Program 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2015-04-20
1285999458 Calvary Pediatrics Pediatrics 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2012-07-12
1730468208 Sujithra Velayuthan Pediatrics 509 Sandhurst Dr, Fayetteville, NC 28304-4433 2011-08-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538702170 Maya Tiffany Jacqueline King Nurse Practitioner 105 S Shore Ter, Fayetteville, GA 30214-7399 2019-10-27
1750686762 Angela Marie Guidry Nurse Practitioner 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 2011-01-21
1093964975 Brenda Carole Hayek Nurse Practitioner 735 Glynn Street S, Fayetteville, GA 30215 2008-09-16
1427182492 Michelle L Roark Nurse Practitioner 3322 Melrose Rd, Fayetteville, NC 28304-1604 2007-03-14
1902891450 Phyllis K Marion Nurse Practitioner 1601 Owen Dr, Sr-ahec Specialty Medical Center, Fayetteville, NC 28304-3425 2005-09-12
1891306692 Katlin Lee Yokeley Nurse Practitioner 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 2020-08-14
1912567447 Mallory Washington Nurse Practitioner 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578 2019-06-17
1710473111 Cari Addington Nurse Practitioner 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 2018-07-09
1063915049 Alexa M Walker Nurse Practitioner 5617 Ramsey St, Fayetteville, NC 28311 2018-03-15
1801124334 Barbara Jean Chapman-nellis Nurse Practitioner 1235 Ramsey Street, Fayetteville, NC 28301 2009-11-20
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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