MRS. KELLY FOGARTY MERGY (NPI# 1306846191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306846191 |
| Entity Type | Individual |
| Full Name | MRS. KELLY FOGARTY MERGY |
| Credential | NP |
| Practice Address |
1235 Ramsey St Fayetteville NC 28301-4401 |
| Practice Telephone | 9104333704 |
| Mailing Telephone | 9106096448 |
| Mailing Fax Number | 9106097040 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 940034 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000948 | 05 |
| Street Address |
1235 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800352 | Yalonda Marie Moore | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2020-01-09 |
| 1467919613 | Ankita Patel | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2019-02-25 |
| 1104334077 | Michelle Nicola Jennings | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2018-01-13 |
| 1982110813 | Michelle Gomez Stucky | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2017-12-14 |
| 1780074385 | Cumberland County Dept of Public Health | Clinic/Center | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2015-02-03 |
| 1265853048 | Torica Fuller | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-12-23 |
| 1316376106 | Sherece Dyer | Registered Nurse | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2013-11-02 |
| 1821341124 | Ann Maria Bell | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2012-10-24 |
| 1164708947 | Ava Annette Johnson | Dietitian, Registered | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2011-10-25 |
| 1255644464 | Heidi Lynn Maxwell | Dietitian, Registered | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2010-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1376167163 | Shatanya Monique Cook | Nurse Practitioner | 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 | 2020-06-08 |
| 1063058972 | Mardee L Baxley | Nurse Practitioner | 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 | 2019-11-26 |
| 1336781715 | Anna Brooks Maness Reed | Nurse Practitioner | 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 | 2019-10-17 |
| 1801362355 | Dawn Stone | Nurse Practitioner | 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 | 2018-10-22 |
| 1902385784 | Yasmin Mathlin | Nurse Practitioner | 641 Walker St, Fayetteville, NC 28311-1990 | 2018-08-12 |
| 1144731951 | Kelli Borland | Nurse Practitioner | 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 | 2017-10-19 |
| 1134639867 | Jeanne Marie Lythgoe | Nurse Practitioner | 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 | 2017-10-09 |
| 1174048037 | Sharon Davinroy | Nurse Practitioner | 315 Sparrow Dr, Fayetteville, NC 28306-8227 | 2017-08-11 |
| 1609302868 | Rose M Graham | Nurse Practitioner | 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 | 2017-05-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.