SAIDIVYA KOMMA (NPI# 1447888979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447888979 |
| Entity Type | Individual |
| Full Name | SAIDIVYA KOMMA |
| Credential | OD |
| Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
| Mailing Address |
2415 Regents Park Ln Greensboro NC 27455-1177 |
| Practice Telephone | 7046389000 |
| Mailing Telephone | 3368093425 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1601 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
| 1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
| 1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
| 1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739315 | Alexis Caroline Lanier | Student in an Organized Health Care Education/Training Program | 380 Calvert Rd, Salisbury, NC 28146-5058 | 2020-01-24 |
| 1457997223 | Wade Yount | Student in an Organized Health Care Education/Training Program | 1026 Lake Dunmore Rd, Salisbury, VT 05769-9755 | 2019-11-26 |
| 1083119390 | Amira Magdi Said | Student in an Organized Health Care Education/Training Program | 6333 White Cove Dr, Salisbury, MD 21801-1751 | 2018-03-28 |
| 1730613571 | Jane Thomas | Student in an Organized Health Care Education/Training Program | 102 Sycamore Rd, Salisbury, NC 28147-9179 | 2017-04-19 |
| 1750814588 | Melanie Grace Byler | Student in an Organized Health Care Education/Training Program | 310 Ord St, Salisbury, PA 15558-9007 | 2017-04-08 |
| 1336689884 | Collan Vaness | Student in an Organized Health Care Education/Training Program | 1655 Woodbrooke Dr Ste 102, Salisbury, MD 21804-2317 | 2017-03-02 |
| 1285170068 | Connie Cooper | Student in an Organized Health Care Education/Training Program | 1655 Woodbrooke Drive, Suite 102, Salisbury, MD 21804 | 2017-01-17 |
| 1770937773 | Gabrielle Prendergast | Student in an Organized Health Care Education/Training Program | 200 Dykes Rd, Apartment 2c, Salisbury, MD 21804-9276 | 2016-04-16 |
| 1780706168 | Krista M Kizer | Student in an Organized Health Care Education/Training Program | 685 Cantiberry Drive, Salisbury, NC 28146-9293 | 2007-04-04 |
| 1134758295 | Theresa Ann Watt | Student in an Organized Health Care Education/Training Program | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-04-02 |
| Find all providers in SALISBURY | ||||
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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.