KIM MARIE BRIDEN (NPI# 1568612240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568612240 |
| Entity Type | Individual |
| Full Name | KIM MARIE BRIDEN |
| Other Name | KIM MARIE PAGENDARM |
| Credential | P.T. |
| Practice Address |
13805 Appling Lane Charlotte NC 28278 |
| Mailing Address |
3724 National Drive Suite 110 Raleigh NC 27612 |
| Practice Telephone | 7045048307 |
| Practice Fax Number | 7045048307 |
| Mailing Telephone | 9197819565 |
| Mailing Fax Number | 9197819564 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2395 | NC | Other Service Providers |
| Street Address |
13805 APPLING LANE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| 1609078757 | Francis Anthony Mercurio | Occupational Therapist | 13104 Winter Hazel Rd. Apt 203, Apt 203, Charlotte, NC 28278 | 2007-06-01 |
| Find all providers in zip 28278 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895531 | Tina Lashay Johnson | Contractor | 5511 Monroe Rd Ste 206, Charlotte, NC 28212-5503 | 2020-09-09 |
| 1548879166 | Tamika M Wright | Contractor | 638 Wilora Landing Rd, Charlotte, NC 28212-8456 | 2020-07-29 |
| 1164030623 | Nakela Humphries | Contractor | 4957 Albemarle Rd Ste A, Charlotte, NC 28205-6617 | 2020-07-21 |
| 1730743485 | Princess Ejindu | Contractor | 9700 Research Dr Ste 107, Charlotte, NC 28262-8569 | 2019-04-29 |
| 1174057566 | Maisha Hill | Contractor | 321 N Davidson St, 307, Charlotte, NC 28202-2928 | 2017-04-12 |
| 1265971634 | Patricia Ellen Downs | Contractor | 8125 Plott Rd, Charlotte, NC 28215-9497 | 2017-02-18 |
| 1285089391 | Janet Levine | Contractor | 8124 Tremaine Ct, Apt E, Charlotte, NC 28227-0605 | 2016-04-26 |
| 1447648860 | Agneta Cynthia Adewumi | Contractor | 9532 Grove Side Ln, Apt 1203, Charlotte, NC 28262-5494 | 2015-01-07 |
| 1710300397 | Jacquelyn Charles | Contractor | 4046 Glenlea Commons Dr, Charlotte, NC 28216-9515 | 2014-02-02 |
| 1831437813 | Cynthia Dale Daly | Contractor | 2946 Redfield Dr, Charlotte, NC 28270-3754 | 2013-01-24 |
| Find all providers in CHARLOTTE | ||||
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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.