BETH ANN DEKONINCK


Address: 207 E Meadow Rd Ste 6, Eden, NC 27288-3469
Phone: 2192041854

BETH ANN DEKONINCK (NPI# 1285693960) 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) 1285693960
Entity Type Individual
Full Name BETH ANN DEKONINCK
Credential NP-C
Practice Address 207 E Meadow Rd Ste 6
Eden
NC 27288-3469
Practice Telephone 2192041854
Mailing Telephone 2192041854
Enumeration Date 2006-03-21
Last Update Date 2019-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
71000315A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200169950 05
IN ANTHEM PROVIDER NUMBER 000000372024 01
IN PHCS PID NUMBER 9397614 01

Office Location

Street Address 207 E MEADOW RD STE 6
City EDEN
State NC
Zip Code 27288-3469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205486297 The Caswell Family Medical Center, Inc. Clinic/Center 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 2019-09-12
1033693932 Jason Christopher Vaughn Nurse Practitioner 207 E Meadow Rd Ste 6, Eden, NC 27288-3469 2018-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639781297 Bailey Shea Scism Pharmacist 103 W Stadium Dr., Eden, NC 27288 2020-08-17
1538640628 Donnell Corey Brown Jr. Technician 519 Orchard Drive, Eden, NC 27288 2018-08-27
1851728182 Linda Mitchell Physical Therapy Assistant 114 E Kings Hwy, Eden, NC 27288 2013-10-01
1033341573 Central State of The Carolinas, Inc. Day Training, Developmentally Disabled Services 229 Cedar St., Eden, NC 27288 2009-08-18
1114186483 Enrich Cosmetic Center Internal Medicine 406 B Thompson St, Eden, NC 27288 2008-06-03
1265630891 John R. Dabbs Jr. Dc PC Preferred Provider Organization 405 Boone Road, Eden, NC 27288 2007-07-05
1235283961 James Harrison Eggleston Dentist 113 West Arbor Lane, Eden, NC 27288 2007-01-22
1962563940 Barbara Collins Tanner Nurse Practitioner 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 2006-12-13
1285690974 Robert Maurice Vaughn Chiropractor 405 Boone Rd, Eden, NC 27288 2006-04-22
1619930666 Direct Respiratory Services Durable Medical Equipment & Medical Supplies 302a North Pierce Street, Eden, NC 27288 2006-04-10
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467977884 Eden Family Care and Medical Aesthetics Nurse Practitioner 2612 N Highway 162, Eden, UT 84310-9745 2017-08-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295334647 Kennitrish Nickola Bracey Nurse Practitioner 5124 Red Poll Dr, Greensboro, NC 27405-9794 2020-10-17
1255947974 Alice Lorraine Fagan Nurse Practitioner 2130 Highland View Ln, Charlotte, NC 28214-9425 2020-09-17
1689286270 Meylien Delgado Lee Nurse Practitioner 510 S Spruce St, Wilkesboro, NC 28697-2846 2020-08-17
1124638317 Jakita Strong Nurse Practitioner 1506 Ladora Dr, Charlotte, NC 28262-6414 2020-08-03
1689284820 Corrie Hansen Nurse Practitioner 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 2020-08-03
1609490382 Brooke Martin Shaw Nurse Practitioner 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 2020-05-29
1467075440 Lydia A. Teague Nurse Practitioner 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 2020-05-25
1689209710 Ana Rita Frey Nurse Practitioner 601 E 5th St Ste 140, Charlotte, NC 28202-3092 2020-03-09
1578109427 Mia Licole Saulter Nurse Practitioner 3961 Stafford Run Ct, High Point, NC 27265-9480 2019-11-25
1801430715 Erica Nicole Ebohon Nurse Practitioner 3803 Arundel Ct, Greensboro, NC 27406-9832 2019-11-04
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Competitor

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City EDEN
Zip Code 27288

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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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