MEREDITH SANDIDGE (NPI# 1154835080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154835080 |
| Entity Type | Individual |
| Full Name | MEREDITH SANDIDGE |
| Practice Address |
5816 Creedmoor Rd Ste 104 Raleigh NC 27612-2310 |
| Practice Telephone | 9196654673 |
| Practice Fax Number | 9198828348 |
| Mailing Telephone | 9196654673 |
| Mailing Fax Number | 9198828348 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A14181 | NC | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
5816 CREEDMOOR RD STE 104 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938599 | Jessica R Soler | Counselor | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2014-10-29 |
| 1447850193 | Nora C Nicholson | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-10-30 |
| 1346840097 | Monique Mccollum | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-10-30 |
| 1841802899 | Mikayla Wendelin | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-08-20 |
| 1295347250 | Matthew Barry | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-08-20 |
| 1649898115 | Kimberly Cornish | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-07-10 |
| 1629690011 | Clayton Henry Ashton Moe | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-05-08 |
| 1184255697 | Kristi Lynn Easterday | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-02-03 |
| 1952940363 | Kimberly Janeen Lee | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2020-01-02 |
| 1669010054 | Meghan K Vyatkova | Behavior Technician | 5816 Creedmoor Rd Ste 104, Raleigh, NC 27612-2310 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
| Find all providers in RALEIGH | ||||
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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.