UNIVERSITY OF NORTH CAROLINA AT PEMBROKE (NPI# 1194282285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194282285 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH CAROLINA AT PEMBROKE |
| Practice Address |
1 University Drive Brave Health Center Pembroke NC 28372 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9105216219 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | MOUZON BASS (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| UNCP Student Blue Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639673155 | University of North Carolina At Pembroke | Orthopaedic Surgery | 1 University Rd, Pembroke, NC 28372-8699 | 2018-03-20 |
| Street Address |
1 UNIVERSITY DRIVE BRAVE HEALTH CENTER |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819593 | Kathryn Fonseca | Specialist/Technologist | 1 University Drive, Pembroke, NC 28372 | 2018-11-06 |
| 1073729166 | Mary-jeanne Raleigh | Counselor | 1 University Drive, Chavis University Center, Pembroke, NC 28372-1510 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| 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 |
|---|---|---|---|---|
| 1578174215 | Courtney Bailey | Nurse Practitioner | 199 Plymouth St, Pembroke, MA 02359-3521 | 2020-08-16 |
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1518519115 | Lisa Rappa-mannion | Nurse Practitioner | 894 Wellington Way, Pembroke, NH 03275-3902 | 2019-07-13 |
| 1659896793 | Zena Cummings | Nurse Practitioner | 2757 Union Chapel Road, Pembroke, NC 28372-0451 | 2017-08-10 |
| 1912507823 | Sarah Bevis | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359-1981 | 2020-10-29 |
| 1932628187 | Locklear Family Practice, Pllc | Nurse Practitioner | 812 Candy Park Rd Ste 7101-a, Pembroke, NC 28372-9129 | 2017-09-19 |
| 1144207234 | Rebecca E. Graziano | Nurse Practitioner | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1457950255 | Ronda Kaye Mckinney | Nurse Practitioner | 27 Resort Dr, Asheville, NC 28806-3815 | 2020-10-22 |
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1548873664 | Rosalynn Maria Solis | Nurse Practitioner | 1407 Regal View Dr, Kernersville, NC 27284-0060 | 2020-08-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1861003709 | Raymond William Meyers | Nurse Practitioner | 1604 Pelham Rd, Winterville, NC 28590-9131 | 2020-08-13 |
| 1700495553 | Evergreen Emmejune Haverkamp | Nurse Practitioner | 545 Schultz Cir, Newland, NC 28657-7714 | 2020-07-28 |
| 1770191835 | Brandy Sampson | Nurse Practitioner | 2900 Old House Cir, Matthews, NC 28105-7279 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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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.