LACHUNDRA PEMBERTON (NPI# 1144610338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
247997 | NC | Nursing Service Providers |
Street Address |
284 EXECUTIVE PARK DR SUITE 100 |
City | CONCORD |
State | NC |
Zip Code | 28025-1894 |
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 |
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 |
Find all providers in zip 28025 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
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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.