KRISTIE WIMBUSH


Address: 1822 E Nc Highway 54, Durham, NC 27713-3210
Phone: 9194746400

KRISTIE WIMBUSH (NPI# 1346742327) 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) 1346742327
Entity Type Individual
Full Name KRISTIE WIMBUSH
Credential LCSWA
Practice Address 1822 E Nc Highway 54
Durham
NC 27713-3210
Practice Telephone 9194746400
Enumeration Date 2018-03-06
Last Update Date 2018-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1822 E NC HIGHWAY 54
City DURHAM
State NC
Zip Code 27713-3210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578659801 Eric Davis, Dds, Pllc Dentist 1822 E Nc Highway 54, Suite 100, Durham, NC 27713-3210 2006-10-05
1720613946 Viveck Patel Counselor 1822 E Nc Highway 54, Durham, NC 27713-3210 2020-03-09
1699334573 Rebecca Langham Social Worker 1822 E Nc Highway 54, Durham, NC 27713-3210 2019-06-13
1154823136 Yusef Lee Peer Specialist 1822 E Nc Highway 54, Durham, NC 27713-3210 2018-03-06
1437651411 Debra Seitz Counselor 1822 E Nc Highway 54, Durham, NC 27713-3210 2018-03-06
1164924148 Elissa Adams Counselor 1822 E Nc Highway 54, Durham, NC 27713-3210 2018-03-06
1124527270 Jessica Faye Dasilva Counselor 1822 E Nc Highway 54, Durham, NC 27713-3210 2018-02-05
1124538046 Cerissa Maleekah Dewberry Social Worker 1822 E Nc Highway 54, Durham, NC 27713-3210 2017-10-05
1780115816 Heather Monroe Social Worker 1822 E Nc Highway 54, Durham, NC 27713-3210 2017-03-21
1528508900 Tara Belt Counselor 1822 E Nc Highway 54, Suite 300, Durham, NC 27713-3210 2017-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1194352542 Mariah Davis Counselor 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 2020-03-25
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1205486081 Lisa Mesmer Barnes Nurse Practitioner 5309hwy 55, Suite 105, Durham, NC 27713 2019-09-13
1497315352 Mary Therese Wood Social Worker 1822 E Highway 54, Suite 300, Durham, NC 27713 2019-06-13
1720558307 Kevin D Simmons Counselor 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 2018-11-27
1790265585 Kelli Cryer Counselor 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 2018-08-21
1477039253 Mahavir Rx, LLC Pharmacy 6216 Fayetteville Rd Ste 105, Durham, NC 27713 2018-07-16
1811482862 Tessa Taylor Dentist 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 2018-06-22
1013401579 Emily Louise Haller Counselor 1822 E Hwy 54, Suite 300, Durham, NC 27713 2018-06-19
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619408713 Vera Jacobs Peer Specialist 415 Princess Ann Dr, Durham, NC 27703-2518 2017-03-21
1073905626 Jennie Gayle Sides Peer Specialist 8109 Highway 30, Durham, OK 73642-4256 2015-02-19
1154823136 Yusef Lee Peer Specialist 1822 E Nc Highway 54, Durham, NC 27713-3210 2018-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215572896 Porsha Griffin Peer Specialist 809 Park Ave Ste F, Greensboro, NC 27405-7811 2019-11-07
1235787227 Cecilia Davis Smith Peer Specialist 1022 S Main St., Lillington, NC 27546-2754 2019-09-03
1043876220 Connie C Hargrove Peer Specialist 1161 Pinkney Rd Nw, Pikeville, NC 27863-8690 2019-05-14
1538633128 Krystal Hocutt Peer Specialist 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 2019-01-16
1902372691 Amy Sue Wilson Peer Specialist 375 Sequoyah Trl # 268, Cherokee, NC 28719 2018-10-19
1063925774 Pervis Nash Peer Specialist 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 2017-11-16
1760919112 Dana Watson White Peer Specialist 327 Holland Dr, Statesville, NC 28677-4168 2017-05-16
1003356940 Donald Sawyer IIi Peer Specialist 1450 E 11th St, Winston Salem, NC 27101-3209 2017-02-25
1215395207 Troy Allen Hunt Peer Specialist 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 2016-02-04
1710353107 Vanessa Fitzgerald Peer Specialist 423 Brookway West Dr, Lewisville, NC 27023-7602 2015-08-19
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Competitor

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City DURHAM
Zip Code 27713

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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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