MRS. HEIDI ELLEN JUMBERCOTTA (NPI# 1265032536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265032536 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI ELLEN JUMBERCOTTA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
| Mailing Address |
2402 Market St Wilmington NC 28403-1136 |
| Practice Telephone | 9106154000 |
| Mailing Telephone | 9103672766 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
5013687 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1447878178 | Tonya Lakeshia Washington | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609946607 | Irlene Locklear | Internal Medicine | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2006-11-08 |
| 1477512986 | Nathan Erteschik | Internal Medicine | 3673 Glenbarry Cir, Fayetteville, NC 28314-2605 | 2006-03-22 |
| 1194150110 | Cumberland County Hospital System Inc | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2013-09-10 |
| 1306188479 | Nathan Edward Tobey | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2013-03-26 |
| 1619224623 | Leonel Elias Carrasco Abinader | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2012-08-08 |
| 1275847857 | Kriti Lonial | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2010-08-05 |
| 1316102502 | Curtis James Coley II | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2008-07-28 |
| 1720241094 | Juan Israel Gaitan Rueda | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2008-07-08 |
| 1073704581 | Arvind Jayaraj Ponnambalam | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2007-08-08 |
| 1952505570 | Ikemefula Emmanuel Ekekwe | Internal Medicine | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2007-06-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MRS. HEIDI ELLEN JUMBERCOTTA.
| 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.