TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC (NPI# 1255660353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255660353 |
| Entity Type | Organization |
| Organization Name | TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC |
| Practice Address |
1100 Navaho Dr Suite 121 Raleigh NC 27609-7319 |
| Mailing Address |
Po Box 1689 Etowah NC 28729-1689 |
| Practice Telephone | 9198454620 |
| Practice Fax Number | 9198468126 |
| Mailing Telephone | 8288915524 |
| Mailing Fax Number | 8288914069 |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2010-05-17 |
| Authorized Official Name | VIVIAN DENISE EVERETT (OWNER) |
| Authorized Official Telephone | 9198454620 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080C0008X |
Pediatrics Specialization: Child Abuse Pediatrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913571 | 05 |
| Street Address |
1100 NAVAHO DR SUITE 121 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740251453 | Russell P Hopfenberg | Psychologist | 1100 Navaho Dr, Suite #123, Raleigh, NC 27609-7319 | 2006-01-30 |
| 1326340464 | North Carolina Recovery Support Services | Case Management | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-11-22 |
| 1346550522 | Jennifer Kathryn Stevens | Social Worker | 1100 Navaho Dr, Suite 114, Raleigh, NC 27609-7319 | 2010-10-20 |
| 1225348675 | Keri Genise Pannell | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-10-19 |
| 1689992240 | Yvonne Michelle James | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2010-05-06 |
| 1902048838 | Jill L Harris | Counselor | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2009-03-24 |
| 1205023884 | Healthcore | Counselor | 1100 Navaho Dr, Suite 128, Raleigh, NC 27609-7319 | 2007-09-27 |
| 1851464150 | Nc Recovery Support Services | Case Management | 1100 Navaho Dr, Suite 125, Raleigh, NC 27609-7319 | 2006-11-16 |
| 1598799728 | Vivian Denise Everett | Pediatrics | 1100 Navaho Dr, Suite 121, Raleigh, NC 27609-7319 | 2006-07-11 |
| 1396709341 | Bruce Eads | Social Worker | 1100 Navaho Dr, Suite 123, Raleigh, NC 27609-7319 | 2006-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2080C0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Child Abuse Pediatrics |
| A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. |
| Notes: Source: American Board of Medical Specialties, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639475593 | Safechild | Pediatrics | 2815 Kidd Rd, Raleigh, NC 27610-1843 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114564416 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 150 Winchester Ave, Monroe, NC 28110-3161 | 2019-12-05 |
| 1558918615 | Natalie Watt | Pediatrics | 201 S Greene St, Greensboro, NC 27401-6417 | 2019-08-23 |
| 1841851912 | James P O'connor | Pediatrics | 116 N Englewood Dr, Rocky Mount, NC 27804-2452 | 2019-06-27 |
| 1073538344 | Mary Rogers | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-07-13 |
Please comment or provide details below to improve the information on TRIANGLE CHILD ABUSE PEDIATRIC SERVICES, PLLC.
| 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.