EVEXIA ADULT AND GERIATRICS MEDICAL CLINIC PLLC (NPI# 1497306112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497306112 |
| Entity Type | Organization |
| Organization Name | EVEXIA ADULT AND GERIATRICS MEDICAL CLINIC PLLC |
| Practice Address |
1004 Dabney Dr Henderson NC 27536-3565 |
| Practice Telephone | 2147278681 |
| Mailing Telephone | 2147278681 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Authorized Official Name | KEYNADOMNICIA UDENZE (OWNER) |
| Authorized Official Telephone | 2147278681 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1004 DABNEY DR |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902460967 | Donnene Denise Ratkiewicz | Nurse Practitioner | 1589 Peaceful Pine St, Henderson, NV 89052-3154 | 2019-04-25 |
| 1699204735 | Anna Smith | Nurse Practitioner | 1032 Secluded Acres Ct, Henderson, NV 89002-9225 | 2017-06-11 |
| 1770955270 | Leslie Hunter-johnson | Nurse Practitioner | 504 Heritage Bridge Ave, Henderson, NV 89011-2670 | 2015-10-22 |
| 1396138145 | Community Healthcare Clinic, LLC | Nurse Practitioner | 1421 Henderson Highway, Henderson, LA 70517 | 2015-03-17 |
| 1295785038 | Tanya M Mata | Nurse Practitioner | 2865 Siena Heights Dr, Suite 331, Henderson, NV 89052-4167 | 2006-05-11 |
| 1619978467 | Deborah Myers | Nurse Practitioner | 1365 Dragon Rock Dr, Henderson, NV 89052-4041 | 2005-08-02 |
| 1699332015 | John Ray Torres | Nurse Practitioner | 10624 S Eastern Ave # A-955, Henderson, NV 89052-2982 | 2019-05-21 |
| 1962982728 | Dina Alzadon | Nurse Practitioner | 100 N Green Valley Pkwy Ste 240, Henderson, NV 89074-7704 | 2018-08-20 |
| 1740727007 | Hannah Furney | Nurse Practitioner | 10001 S Eastern Ave, Suite #108, Henderson, NV 89052 | 2017-01-25 |
| 1154875979 | Freddy Hernan Espinosa | Nurse Practitioner | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2016-08-10 |
| Find all providers in HENDERSON | ||||
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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.