ERICA DAWN WIMBERLY (NPI# 1336457266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336457266 |
Entity Type | Individual |
Full Name | ERICA DAWN WIMBERLY |
Credential | PA-C |
Practice Address |
509 N Brightleaf Blvd Smithfield NC 27577-4407 |
Mailing Address |
509 N Brightleaf Blvd Smithfield NC 27577-8568 |
Practice Telephone | 9199348171 |
Enumeration Date | 2010-09-14 |
Last Update Date | 2013-11-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-02470 | NC | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033446489 | Erica Michelle Wimberly | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2009-11-05 |
Street Address |
509 N BRIGHTLEAF BLVD |
City | SMITHFIELD |
State | NC |
Zip Code | 27577-4407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275535239 | Obafemi Adewunmi | Internal Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2005-06-02 |
1093331936 | Adam Aydin Atik | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2020-06-16 |
1891336251 | Alexxis Rae Langton | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-10-07 |
1174086441 | Wake Emergency Physicians Pa | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-04-12 |
1699259499 | Brittany Ann Jenkins | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-18 |
1891277810 | Kylie Mcdermott Cox | Registered Nurse | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-09-06 |
1043799208 | Edward A Fulghum | Physical Therapy Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-08-08 |
1629576533 | Ryan Matthew Jones | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-25 |
1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
1285146217 | Kiana Morgan Fussner | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2017-10-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
Find all providers in zip 27577 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871647412 | Victoria Lynn Harris | Physician Assistant | 388 Venture Dr, Suite I, Smithfield, NC 27577-4775 | 2007-01-22 |
1851321574 | Michael David Rua | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478 | 2006-07-05 |
1790261147 | Cynthia Kalina Kurosky | Physician Assistant | 100 Ridgeview Dr Unit 3, Smithfield, PA 15478-1650 | 2018-07-18 |
1245748946 | Avni Garg | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2018-01-16 |
1952769788 | Diana Walker | Physician Assistant | 388 Venture Dr Ste I, Smithfield, NC 27577-4775 | 2016-02-08 |
1174903538 | Stephanie Pritchett | Physician Assistant | 707 Lassiter St, Smithfield, NC 27577-4613 | 2015-06-01 |
1457749483 | Seth Pattan | Physician Assistant | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2014-12-29 |
1609273218 | Mary Joseph | Physician Assistant | 2160 Springhill Furnace Rd, Smithfield, PA 15478-1428 | 2014-11-25 |
1043613839 | Rachel Serrano | Physician Assistant | 1519 E Booker Dairy Rd, Suite A, Smithfield, NC 27577-9472 | 2014-10-07 |
1235477324 | Laura Elizabeth Smith | Physician Assistant | 388 Venture Dr Ste I, Smithfield, NC 27577-4775 | 2013-01-23 |
Find all providers in SMITHFIELD |
City | SMITHFIELD |
Zip Code | 27577 |
Please comment or provide details below to improve the information on ERICA DAWN WIMBERLY.
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.