SEAN MICHAEL REILLY (NPI# 1386950418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386950418 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL REILLY |
| Credential | RNC,NNP |
| Practice Address |
4420 Lake Boone Trl Raleigh NC 27607-7505 |
| Practice Telephone | 9197843100 |
| Mailing Telephone | 9197843100 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
5009794 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
COA07506NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2951 Maple Ave, Zanesville, OH 437011406 | 7404544095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497785596 | Sean M Reilly | Physician Assistant | 75-170 Hualalai Rd, Ste C-110, Kailua Kona, HI 96740-1741 | 2006-07-04 |
| 1255953055 | Sean Reilly | Pharmacist | 106 Bow St, Elkton, MD 21921-5544 | 2020-05-14 |
| 1720607815 | Sean Patrick Reilly | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 301, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1912375817 | Sean Michael Reilly | Social Worker | 1815 Old 41 Hwy Nw, Suite 110, Kennesaw, GA 30152 | 2015-09-09 |
| 1346595287 | Sean Patrick Reilly | Pharmacist | 1504 Taub Loop, Pharmacy Administration, Houston, TX 77030-1608 | 2012-07-17 |
| 1306819107 | Sean Clark Reilly | Internal Medicine | 6900 Georgia Ave Nw, Critical Care Medicine, Dept. of Medicine, Washington, DC 20307-0003 | 2006-02-10 |
| Street Address |
4420 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035405 | Karen Kinney Schneider | Nurse Practitioner | 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 | 2005-07-05 |
| 1700486685 | Cameron Blake Little | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-10-29 |
| 1942811278 | Whitney Dale Marks | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-08-11 |
| 1447869359 | Daneille Barbara Hamlin | Audiologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-07-27 |
| 1427675057 | Robert Brinson Mitchell IIi | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-30 |
| 1912523457 | Driss Zine | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-21 |
| 1619599081 | Kai Kang | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-05-08 |
| 1487281671 | Allison Tharakan | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-26 |
| 1598391435 | Gerald Shane Taylor | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-22 |
| 1982230140 | Catherine Parks Chantrill | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
| 1033489943 | Brook Payne Nowak | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2012-01-09 |
| 1245535475 | Beth Anne King | Nurse Practitioner | 4200 Lake Boone Trl, Raleigh, NC 27607-6521 | 2011-01-19 |
| 1295030955 | Alexandra Marie Lavenburg | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2011-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
| 1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
| 1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
| 1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
| 1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
| 1003889965 | Paula Beth Roach | Nurse Practitioner | Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-02-10 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
| 1548886849 | Stephanie Dawn Chambers | Nurse Practitioner | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEAN MICHAEL REILLY.
| 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.