MRS. JESSICA RAKES HEYSE (NPI# 1508412511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508412511 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA RAKES HEYSE |
| Credential | NP |
| Practice Address |
1135 Carthage St Sanford NC 27330-4162 |
| Mailing Address |
614 Longleaf Rd Aberdeen NC 28315-2126 |
| Practice Telephone | 9197742100 |
| Mailing Telephone | 5404931800 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5012161 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012161 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1135 CARTHAGE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915776 | Dennis P Legolvan | Pathology | 1135 Carthage St, Sanford, NC 27330-4162 | 2005-07-07 |
| 1730707183 | Chase Pennel | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2020-07-13 |
| 1396384343 | Vera Kotlyar | Dietitian, Registered | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-21 |
| 1831737402 | Emily Grace Gamble | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-14 |
| 1700438546 | Gary Taylor | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-07-11 |
| 1497310148 | Jonathan Goldston | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-05-08 |
| 1336607464 | Katherine Vanderford | Registered Nurse | 1135 Carthage St, Sanford, NC 27330 | 2019-03-07 |
| 1972069243 | Mark Benning | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-02-12 |
| 1164900544 | Pazoo Xiong | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2018-07-30 |
| 1932615135 | Lexis Hohman | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2017-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114103215 | Stacy L Diperna | Nurse Practitioner | 25 June St, Sanford, ME 04073-2621 | 2008-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544927 | Christine Marie Davis | Nurse Practitioner | 1010 Kenilworth Ave Apt 426, Charlotte, NC 28204-3475 | 2020-10-06 |
| 1447867700 | Ryan Richard Plesher | Nurse Practitioner | 10 Duke Medicine Cir Fl 8, Durham, NC 27710-1000 | 2020-09-29 |
| 1538774922 | Kathryn Rose Keurian | Nurse Practitioner | 10 Duke Medicine Cir # 3677, Durham, NC 27710-1000 | 2020-09-11 |
| 1669087243 | Linaleea Lopez | Nurse Practitioner | 108 Long Needle Dr, Clayton, NC 27520-8536 | 2020-09-10 |
| 1932713112 | Jessica H Resnyk | Nurse Practitioner | 2004 Cindy Ln, Clayton, NC 27520-9038 | 2020-09-03 |
| 1831702612 | Christopher Ireland | Nurse Practitioner | 4545 Long Cove Dr, Denver, NC 28037-5437 | 2020-08-31 |
| 1740893437 | Carlitha Saunders | Nurse Practitioner | 200 Medical Park Dr Ste 230, Concord, NC 28025-0933 | 2020-08-24 |
| 1508484031 | Stacey C Bohm | Nurse Practitioner | 15720 Brixham Hill Ave Ste 130, Charlotte, NC 28277-4784 | 2020-07-10 |
| 1750903969 | Lauren Brooke Kirby | Nurse Practitioner | 620 Moye Blvd, Greenville, NC 27834-0001 | 2020-05-11 |
| 1275154999 | Meghan Thompson Twisdale | Nurse Practitioner | 10 Duke Medicine Circle Duke Surgical Care Unit, Durham, NC 27710-0001 | 2020-05-05 |
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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.