MRS. NICOLE MARIE LONGORIA (NPI# 1497994529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497994529 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE LONGORIA |
| Other Name | MISS NICOLE MARIE KUPINSKI |
| Credential | P.A. |
| Practice Address |
10207 Cerny St Suite 312 Raleigh NC 27617-4879 |
| Mailing Address |
4355 Lyman Ave Raleigh NC 27616-8460 |
| Practice Telephone | 9196700302 |
| Mailing Telephone | 9313020026 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1084959 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720373178 | Nicole Longoria | Dietetic Technician, Registered | 1310 Wallace St, Edison, NJ 08817-3384 | 2011-06-14 |
| 1952883985 | Nicole Longoria | Occupational Therapy Assistant | 1400 Hilltop Rd, Kerrville, TX 78028-2851 | 2018-09-06 |
| Street Address |
10207 CERNY ST SUITE 312 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27617-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023043163 | Susan Licata Durham | Optometrist | 10207 Cerny St, Suite 100, Raleigh, NC 27617-7878 | 2006-07-11 |
| 1104437342 | Bradley James Denmeade | Registered Nurse | 10207 Cerny St, Raleigh, NC 27617-4879 | 2020-08-12 |
| 1891331609 | Lora Darlene M Ray | Dietitian, Registered | 10207 Cerny St, Raleigh, NC 27617-4879 | 2019-11-27 |
| 1629516372 | Duke University | Special Hospital | 10207 Cerny St, Raleigh, NC 27617-4879 | 2017-02-02 |
| 1093190969 | Alexandra Quane Cotter | Physician Assistant | 10207 Cerny St, Suite 312-b, Raleigh, NC 27617-4879 | 2015-07-21 |
| 1669812673 | Barbara Bauer Zickgraf | Dentist | 10207 Cerny St, Suite 106, Raleigh, NC 27617-7878 | 2013-07-05 |
| 1730442138 | Nina Maheshwari Thomas | Dentist | 10207 Cerny St, Suite 106, Raleigh, NC 27617-7878 | 2012-06-20 |
| 1710299375 | Dani Stansell Dds Pa | Dentist | 10207 Cerny St, Ste 106, Raleigh, NC 27617-7878 | 2010-07-11 |
| 1245556877 | Christian Blake Cameron | Internal Medicine | 10207 Cerny St, Suite 306, Raleigh, NC 27617-4879 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1568006310 | Aubrey Nicole Stephenson | Dietitian, Registered | 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 | 2019-11-05 |
| 1982114567 | Method Manual Physical Therapy and Wellness LLC | Physical Therapist | 9244 Miranda Drive, Raleigh, NC 27617 | 2017-10-09 |
| 1588182539 | Aqsa Salman | Counselor | 11736 Dellcain Court, Raleigh, NC 27617 | 2017-08-30 |
| 1962942326 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 10440 Glenwood, Durham, NC 27617 | 2017-03-06 |
| 1457896037 | Emergeortho Pa | Durable Medical Equipment & Medical Supplies | 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 | 2017-01-05 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1821449406 | John William Langel | Optometrist | 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 | 2016-06-24 |
| 1821457789 | Acariahealth Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7231 Acc Blvd Ste 103, Raleigh, NC 27617 | 2016-02-19 |
| 1033583760 | America Alisha Allen | Social Worker | 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 | 2015-11-18 |
| Find all providers in zip 27617 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
| 1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
| 1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
| 1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
| 1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
| 1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
| 1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
| 1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
| Find all providers in RALEIGH | ||||
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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.