MRS. BONNIE WILLOUGHBY SKIADIOTIS


Address: 404 Hatfield Ct, Lumberton, NC 28358
Phone: 9107383358

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5010638 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 404 HATFIELD CT
City LUMBERTON
State NC
Zip Code 28358

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City LUMBERTON
Zip Code 28358

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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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