JANEL REBECCA DURHAM (NPI# 1154816312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154816312 |
| Entity Type | Individual |
| Full Name | JANEL REBECCA DURHAM |
| Credential | FNP-C |
| Practice Address |
10479 N Nc Highway 109 Ste 107a Winston Salem NC 27107 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367690246 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5010644 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10479 N NC HIGHWAY 109 STE 107A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518224617 | Daniel Lewis Myers | Family Medicine | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| 1497049266 | Crse Advanced Placement Homes, Inc. | Community/Behavioral Health | 2019 Milford St, Winston Salem, NC 27107-1332 | 2011-06-08 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567175 | Fenny Apondi Okello | Nurse Practitioner | 4254 Paula Dr, Winston Salem, NC 27127-6820 | 2020-04-22 |
| 1659917615 | Mh Medical Services, PC | Nurse Practitioner | 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 | 2019-11-25 |
| 1053957118 | Mh Medical Services, PC | Nurse Practitioner | 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 | 2019-11-25 |
| 1548756547 | Tracy Gaffney | Nurse Practitioner | 4134 Macarthur St, Winston Salem, NC 27107-6124 | 2018-07-03 |
| 1568958692 | Heather Triplett | Nurse Practitioner | Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 | 2018-07-01 |
| 1619498987 | Yolanda Enrich | Nurse Practitioner | 652 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-06-27 |
| 1316483738 | Julie Shaun Kozel | Nurse Practitioner | 656 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-01-09 |
| 1578923199 | Denise B Westendorf | Nurse Practitioner | 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 | 2016-02-24 |
| 1568890705 | Lourdes C Ramos | Nurse Practitioner | 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 | 2013-10-25 |
| 1063735504 | Meredith Renae Clark | Nurse Practitioner | 605 Cotton St, Winston Salem, NC 27101-5080 | 2010-03-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
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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.