JOEL ALFONSO PUERTO


Address: 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159
Phone: 3365155000

JOEL ALFONSO PUERTO (NPI# 1396383337) 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) 1396383337
Entity Type Individual
Full Name JOEL ALFONSO PUERTO
Credential APRN
Practice Address 1695 Kernersville Medical Pkwy
Kernersville
NC 27284-7159
Mailing Address 1601 Brenner Ave
Salisbury
NC 28144-2515
Practice Telephone 3365155000
Enumeration Date 2019-12-19
Last Update Date 2020-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11003753 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 1396383337 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
7225 Coppitt Key St, Lake Worth, FL 334677632 5616321464

Office Location

Street Address 1695 KERNERSVILLE MEDICAL PKWY
City KERNERSVILLE
State NC
Zip Code 27284-7159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225097280 Kris Nordberg Internal Medicine 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2006-03-20
1841802329 Meredith Morphis Usrey Clinical Exercise Physiologist 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2020-08-17
1497309256 Olivia Reinlander Dentist 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2019-07-30
1104478452 Meghan Cody Psychologist 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2019-07-16
1548725005 Suzanne Ruff O'neal Registered Nurse 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2019-02-08
1053817197 Gaytri Patel Barker Psychologist 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2018-04-05
1396266342 Tamika Sharon Edwards Social Worker 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2017-06-29
1144755505 Adam Boland Registered Nurse 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2017-04-24
1578014866 Irene Acheampong Asare Dietitian, Registered 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2016-10-20
1952859100 Ross Marshall Cole Social Worker 1695 Kernersville Medical Pkwy, Kernersville, NC 27284-7159 2016-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013549047 Katie Lee Sherman Student in an Organized Health Care Education/Training Program 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 2020-02-07
1861049231 Bethany Medical Center Internal Medicine 975 Hwy 66 S, Kernersville, NC 27284 2019-08-21
1114490810 Lindsey Sarvis Social Worker 2301 Lake Shore Reserve Court, Kernersville, NC 27284 2019-01-04
1073091088 Gastroenterology Associates of The Piedmont, P.a. Internal Medicine 445 Pineview Dr Ste 200b, Kernersville, NC 27284 2018-08-01
1942786629 Brea Anjanee' Washington Nurse Practitioner 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 2018-07-16
1992216246 Charley Elizabeth Cummings Physician Assistant 1635 Nc-66, Kernersville, NC 27284 2017-10-13
1902324304 Susan Marie Garcia Counselor 822 Old Winston Road, Suite 5, Kernersville, NC 27284 2017-09-06
1871034603 Ljp Lab LLC Clinical Medical Laboratory 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 2017-03-13
1912446253 Knew Era Consulting Counselor 335 Creekview Drive, Kernersville, NC 27284 2017-02-20
1144686593 Amber Moore Counselor 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 2016-01-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265046312 Adjara Issifu Nurse Practitioner 950 Graves St, Kernersville, NC 27284-3262 2020-09-05
1477163566 Kimberly Lynn Baggerly Nurse Practitioner 1024 Branchwood Dr, Kernersville, NC 27284-2210 2020-08-04
1164048385 Jason Alford Nurse Practitioner 820 Eastgrove Ct, Kernersville, NC 27284-7670 2020-06-23
1568022911 Amy Crouse Nurse Practitioner 1424 Davenport Ct, Kernersville, NC 27284-3678 2019-06-18
1427618248 Avery Carrigan Nurse Practitioner 900 Old Winston Rd Ste 204b, Kernersville, NC 27284-9965 2019-06-14
1710446497 Lindsay Boles Nurse Practitioner 771 Park Centre Dr, Kernersville, NC 27284-3776 2019-03-13
1134526015 Best Clinic Pllc Nurse Practitioner 950 Graves St Unit 4 B, Kernersville, NC 27284-7562 2014-11-20
1538445556 Sadou N/a Ibrahim Nurse Practitioner 950 Graves Street Unit 4 B, Kernersville, NC 27284 2011-10-24
1659509594 Erin Ringle Judge Nurse Practitioner 490 Pineview Dr Ste A, Kernersville, NC 27284-3995 2009-06-30
1740493709 Lauri P Cox Nurse Practitioner Lyndhurst Gynecologic Associates, 445 Pineview Street, Suite 110, Kernersville, NC 27284 2007-05-07
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Competitor

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City KERNERSVILLE
Zip Code 27284

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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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