LACHUNDRA PEMBERTON


Address: 284 Executive Park Dr, Suite 100, Concord, NC 28025-1894
Phone: 7049391100

LACHUNDRA PEMBERTON (NPI# 1144610338) 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) 1144610338
Entity Type Individual
Full Name LACHUNDRA PEMBERTON
Practice Address 284 Executive Park Dr
Suite 100
Concord
NC 28025-1894
Mailing Address 713 Woodland Creek Dr
Salisbury
NC 28147-6543
Practice Telephone 7049391100
Practice Fax Number 7049391173
Enumeration Date 2015-01-27
Last Update Date 2015-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
247997 NC Nursing Service Providers

Office Location

Street Address 284 EXECUTIVE PARK DR
SUITE 100
City CONCORD
State NC
Zip Code 28025-1894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326030792 Lacy Henry Miller Nurse Practitioner 284 Executive Park Dr, Concord, NC 28025-1831 2005-08-22
1326502204 Tiffany Robinson Hooker Counselor 284 Executive Park Dr, Concord, NC 28025-1831 2019-01-25
1710464961 Christine Ann Still Social Worker 284 Executive Park Dr, Concord, NC 28025-1831 2018-07-20
1457838732 Justine Mohre Social Worker 284 Executive Park Dr, Concord, NC 28025-1831 2018-07-19
1821598608 Holly Hall Hatley Licensed Practical Nurse 284 Executive Park Dr, Concord, NC 28025-1831 2018-02-18
1063946432 Lisa Crowder Licensed Practical Nurse 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 2017-04-12
1215474267 Julia Bentley Counselor 284 Executive Park Dr, Concord, NC 28025-1831 2017-01-30
1760929798 Richard Moore Counselor 284 Executive Park Dr, Suite100, Concord, NC 28025-1894 2017-01-29
1760928352 Latehia Cade Licensed Practical Nurse 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 2017-01-06
1811432818 Tiffany Moss Counselor 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 2016-12-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700146255 Mary J Sevigny Registered Nurse 190 Pleasant St, Concord, NH 03301-2946 2012-05-17
1144362492 Kuljit Bhandal Registered Nurse 172 Park St, Concord, CA 94520-1158 2007-02-13
1134515745 Debra Wilkins Registered Nurse 2425 Bisso Ln, Concord, CA 94520-4897 2015-04-09
1881031896 Mark R Patras Registered Nurse 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 2013-05-30
1891834115 Kristi Mccahon Registered Nurse 2740 Grant St, Concord, CA 94520-2265 2007-02-05
1043364086 Linda Lapierre Registered Nurse 10 West St, Concord, NH 03301-3548 2007-01-23
1215081443 Roberta Barbara Hespen Registered Nurse 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 2007-01-23
1912051442 Leticia Lacanilao Ballesteros Registered Nurse 1420 Willow Pass Rd, Concord, CA 94520-5223 2007-01-22
1760536205 Psyche Murillo Registered Nurse 1420 Willow Pass Rd, Concord, CA 94520-5223 2007-01-22
1871647396 Andrew Charles Minutoli Registered Nurse 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 2007-01-22
Find all providers in CONCORD

Competitor

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City CONCORD
Zip Code 28025

Improve Information

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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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