MRS. JACQUELINE SUZANNE SEBASTIAN (NPI# 1386752228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386752228 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE SUZANNE SEBASTIAN |
| Other Name | MISS JACQUELINE SUZANNE CHARLES |
| Credential | ADULT NURSE PRACTITI |
| Practice Address |
3604 Bush St Raleigh NC 27609-7511 |
| Mailing Address |
3031 New Bern Ave Ste 306 Raleigh NC 27610-2989 |
| Practice Telephone | 9198767807 |
| Practice Fax Number | 9198768823 |
| Mailing Telephone | 9192313966 |
| Mailing Fax Number | 9192313912 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5002018 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3031 New Bern Ave Ste 306, Raleigh, NC 276102989 | 9192313966 | 9192313912 |
| Street Address |
3604 BUSH ST |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797049 | Wake Nephrology Associates, P.a. | Specialist | 3604 Bush St, Raleigh, NC 27609-7511 | 2005-06-01 |
| 1770901993 | Sarah Mistrot | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2014-04-03 |
| 1508299777 | Shannon Joan Clark | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2013-08-12 |
| 1568718336 | Nanci Jacqulyn Sullivan-blackert | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2012-07-31 |
| 1699069948 | Robert Edward Olivo | Internal Medicine | 3604 Bush St, Raleigh, NC 27609-7511 | 2011-06-03 |
| 1679885107 | Lori Michelle Haskins | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2010-07-13 |
| 1376602391 | Deborah B Berg | Dietitian, Registered | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-12-06 |
| 1780796508 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-08-31 |
| 1366470791 | Donna Antonia Theodore | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-28 |
| 1689612442 | Jessica J Oneill | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| 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 |
|---|---|---|---|---|
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1891318739 | Christopher Paul Murphy | Nurse Practitioner | 11200 Governor Manly Way Ste 23, Raleigh, NC 27614-8599 | 2020-05-27 |
| 1669095139 | Shannon Yahyapour | Nurse Practitioner | 1528 Shadowood Ln, Raleigh, NC 27612-5917 | 2020-05-19 |
| 1134752181 | Pamela Liane Harris Claxton | Nurse Practitioner | 3708 San Pablo Dr, Raleigh, NC 27616-4540 | 2020-02-18 |
| 1083253033 | Brenda Lee Gartrell | Nurse Practitioner | 2000 Red Quartz Dr, Raleigh, NC 27610-5634 | 2019-12-21 |
| 1154979227 | Bethany Bartholomew | Nurse Practitioner | 10941 Raven Ridge Rd Ste 201, Raleigh, NC 27614-6487 | 2019-08-30 |
| 1831750181 | Becky L Milam | Nurse Practitioner | 5900 Six Forks Rd Ste 200, Raleigh, NC 27609-8226 | 2019-06-27 |
| 1275034357 | Matthew O'donnell | Nurse Practitioner | 6500 Creedmoor Rd Ste 110, Raleigh, NC 27613-3698 | 2018-02-23 |
| 1356852792 | Meredith Tschoke | Nurse Practitioner | 4505 Falls of Neuse Rd Ste 650, Raleigh, NC 27609-2523 | 2017-10-12 |
| 1992174775 | Chun Young Hong | Nurse Practitioner | 3414 Six Forks Rd., Raleigh, NC 27609 | 2015-09-22 |
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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.