MRS. BONNIE WILLOUGHBY SKIADIOTIS (NPI# 1184118135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184118135 |
Entity Type | Individual |
Full Name | MRS. BONNIE WILLOUGHBY SKIADIOTIS |
Other Name | MISS BONNIE JEAN WILLOUGHBY |
Credential | FNP |
Practice Address |
404 Hatfield Ct Lumberton NC 28358 |
Mailing Address |
404 Hatfield Ct Lumberton NC 28358-1126 |
Practice Telephone | 9107383358 |
Practice Fax Number | 9107389174 |
Mailing Telephone | 9107383358 |
Mailing Fax Number | 9107389174 |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5010638 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
404 HATFIELD CT |
City | LUMBERTON |
State | NC |
Zip Code | 28358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154310290 | David Roger Allen Jr. | Orthopaedic Surgery | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2005-10-20 |
1164904751 | Karen Ann Allen | Nurse Practitioner | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2018-08-30 |
1851774244 | Adam Pinegar | Physical Therapist | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2015-07-02 |
1457657348 | Robert William Johnson | Physician Assistant | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2011-02-10 |
1215244843 | Scott Thomas Flood | Physician Assistant | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2010-09-02 |
1316173115 | Michael Scott Melton | Physical Therapist | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2009-06-08 |
1912197237 | Allen Orthopedics P A | Durable Medical Equipment & Medical Supplies | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2007-08-01 |
1417175167 | Michael John Riznyk | Physician Assistant | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2007-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
Find all providers in zip 28358 |
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 |
---|---|---|---|---|
1306479605 | Sarah Youngblood | Nurse Practitioner | 327 Tyler Dr, Lumberton, TX 77657-5988 | 2020-02-15 |
1053861872 | Candace Renee Eastman | Nurse Practitioner | 5202 Timberwolf, Lumberton, TX 77657-7545 | 2016-10-05 |
1700134392 | Medical Fitness Solutions, Pa | Nurse Practitioner | 1027 N Main St, Lumberton, TX 77657-7362 | 2012-08-29 |
1154950202 | Ousman Ceesay | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-04-02 |
1053947150 | Chastity Caulder Benson | Nurse Practitioner | 4384 Fayetteville Rd, Lumberton, NC 28358-2677 | 2020-03-20 |
1841830841 | Katara Ilena Hunt | Nurse Practitioner | 106 Farm Brook Dr Ste A, Lumberton, NC 28358-2178 | 2020-01-08 |
1033752415 | Tara Rozier | Nurse Practitioner | 3005 N Elm St, Lumberton, NC 28358-2984 | 2019-10-18 |
1396206900 | Donna Sue Mcdowell | Nurse Practitioner | 1309 E 5th St, Lumberton, NC 28358-6031 | 2019-03-27 |
1235601949 | Jolene Beaumont | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2018-12-19 |
1164904751 | Karen Ann Allen | Nurse Practitioner | 404 Hatfield Ct, Lumberton, NC 28358-1126 | 2018-08-30 |
Find all providers in LUMBERTON |
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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.