TRISTIN VALDIVIA (NPI# 1295221851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295221851 |
| Entity Type | Individual |
| Full Name | TRISTIN VALDIVIA |
| Credential | NP |
| Practice Address |
3643 N Roxboro St Durham NC 27704-2702 |
| Mailing Address |
400 Hunsford Pl Wake Forest NC 27587-4120 |
| Practice Telephone | 9194704000 |
| Mailing Telephone | 6314311385 |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5010698 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11200 Governor Manly Way Ste 309, Raleigh, NC 276147375 | 9195629410 | 9195622948 |
| 6602 Knightdale Blvd Ste 310, Knightdale, NC 275456526 | 9195629410 | 9195622948 |
| Street Address |
3643 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113899 | Nirmish Shah | Internal Medicine | 3643 N Roxboro St, Durham, NC 27704-2702 | 2005-06-09 |
| 1548872633 | Christopher James Rogge | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-08-19 |
| 1801404579 | Grace L Johnson | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-07-20 |
| 1174147102 | Kaitlyn Elizabeth Cockerham | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-06-05 |
| 1306466859 | Keri Laurelle Konstant | Registered Nurse | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-04-24 |
| 1194351262 | Deidre Pelletier | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-03-20 |
| 1720618812 | Elizabeth Parker Sulentic | Nurse Practitioner | 3643 N Roxboro St, Durham, NC 27704-2702 | 2020-01-17 |
| 1265079131 | Melinda Yvonne House | Nurse Practitioner | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-12-10 |
| 1427607811 | Grace Amy Revenaugh Dreyer | Physician Assistant | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-09-09 |
| 1841848934 | Ann Mei Lin | Hospitalist | 3643 N Roxboro St, Durham, NC 27704-2702 | 2019-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867700 | Ryan Richard Plesher | Nurse Practitioner | 10 Duke Medicine Cir Fl 8, Durham, NC 27710-1000 | 2020-09-29 |
| 1538774922 | Kathryn Rose Keurian | Nurse Practitioner | 10 Duke Medicine Cir # 3677, Durham, NC 27710-1000 | 2020-09-11 |
| 1275154999 | Meghan Thompson Twisdale | Nurse Practitioner | 10 Duke Medicine Circle Duke Surgical Care Unit, Durham, NC 27710-0001 | 2020-05-05 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1780059618 | Heather Schmitz | Nurse Practitioner | Advanced Clinical Practice, Box 3677 Dumc, Durham, NC 27710-0001 | 2015-12-03 |
| 1033580832 | Penny Woodworth Jones | Nurse Practitioner | 3912 Kettering Dr, Durham, NC 27713-8029 | 2015-10-19 |
| 1497163539 | Jade Clausen | Nurse Practitioner | Dumc Box 3677, Durham, NC 27710 | 2014-07-31 |
| 1699105122 | Terry Ainsworth | Nurse Practitioner | 40 Medical Center Dr, Durham, NC 27710-0001 | 2013-11-19 |
| 1972889475 | Honey M Jetter Jones | Nurse Practitioner | 4200 Neurocritical Care, Duke University Medical Center, Dumc 2900, Durham, NC 27710-0001 | 2011-10-27 |
| 1952693517 | Robin J Trupp | Nurse Practitioner | 40 Duke Medicine, Clinic 2k, Room 2203, Durham, NC 27710 | 2011-05-13 |
| Find all providers in DURHAM | ||||
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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.