JOHN MICHAEL ABLAN (NPI# 1356881528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356881528 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL ABLAN |
| Practice Address |
11200 Governor Manly Way Raleigh NC 27614-8599 |
| Mailing Address |
104 Bitterwood Pl Goldsboro NC 27530-0805 |
| Practice Telephone | 9192735578 |
| Mailing Telephone | 9192735578 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | LAT-2623 | NC | Other Service Providers |
| Street Address |
11200 GOVERNOR MANLY WAY |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
| 1437769080 | Jerrell Parker | Physical Therapy Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2020-08-07 |
| 1255997086 | Kendra Rae Potter | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2019-05-16 |
| 1942719752 | Lisa Susanna Izzi | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-09-25 |
| 1053843664 | Brooke Graves | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-04-02 |
| 1174074769 | Kelsey Leigh Mancini | Specialist/Technologist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2016-10-18 |
| 1124579008 | Taylor Beavers | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-10-17 |
| 1215483540 | Nicole Emilia Renfroe | Student in an Organized Health Care Education/Training Program | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-28 |
| 1649725177 | Chelsea Christine Sorensen | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-25 |
| 1942652839 | Chris Cardella | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
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| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1356876270 | Donna Nimmo | Prevention Professional | 4496 Alan Pl, Farmville, NC 27828-9579 | 2017-04-28 |
| 1295275295 | Fused Hair Studio | Prevention Professional | 4523 Park Rd, A105, Charlotte, NC 28209-3700 | 2017-02-24 |
| 1821535659 | Drew Moore | Prevention Professional | 321 Bors Run, 101, Wilmington, NC 28403-2687 | 2017-01-31 |
| 1629696125 | Shereka Dabney | Prevention Professional | 820 Grimes Blvd, Lexington, NC 27292-7640 | 2020-07-10 |
| 1003315144 | Bowden Enterprise Services, LLC | Prevention Professional | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-05 |
| 1184144172 | The Mediation Center of Eastern Carolina | Prevention Professional | 200 Eastbrook Dr Ste A, Greenville, NC 27858-4220 | 2017-06-21 |
| 1245771914 | Bonnie Louise Kell | Prevention Professional | 100 W H St, Butner, NC 27509-1605 | 2017-03-15 |
| 1033658737 | Massage At Monroe | Prevention Professional | 2325 Hanover Dr, Monroe, NC 28110-0450 | 2017-02-15 |
| 1457890378 | Gregory Robert Loeser | Prevention Professional | 92 Catamount Road, Cullowhee, NC 28723 | 2017-02-13 |
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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.