KYNDAL ANNETTE ROUSE RIORDEN (NPI# 1588219125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588219125 |
| Entity Type | Individual |
| Full Name | KYNDAL ANNETTE ROUSE RIORDEN |
| Credential | PA |
| Practice Address |
800 Tilghman Dr Dunn NC 28334-5510 |
| Mailing Address |
141 Windsor Dr Angier NC 27501-8802 |
| Practice Telephone | 9108921000 |
| Mailing Telephone | 9194997813 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 TILGHMAN DR |
| City | DUNN |
| State | NC |
| Zip Code | 28334-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761058 | Harnett Health System Inc | Family Medicine | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2005-06-21 |
| 1821619081 | Victoria Marie Babson | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2020-04-29 |
| 1932753183 | Jenna Whittington Ammons | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2019-07-26 |
| 1538712534 | Alana Morgan Goldberg | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2019-07-18 |
| 1881154185 | Jordan Verlare | Student in an Organized Health Care Education/Training Program | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2019-03-22 |
| 1114406923 | Harnett Health System Inc | Specialist | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-08-13 |
| 1386121929 | Harnett Health System, Inc. | Clinic/Center | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-07-26 |
| 1124512751 | Leannyn Rotert | Student in an Organized Health Care Education/Training Program | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-06-18 |
| 1669964375 | Geoffrey Luecker | Student in an Organized Health Care Education/Training Program | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-05-30 |
| 1255822300 | Sarah Rodriguez-sawao | Student in an Organized Health Care Education/Training Program | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
| 1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
| 1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
| 1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
| 1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
| 1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
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| 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 |
|---|---|---|---|---|
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1891708228 | Jeffre John Dochow | Physician Assistant | 805 Tilghman Dr Ste C, Dunn, NC 28334-5883 | 2006-08-15 |
| 1528045234 | Jose F Mahiquez | Physician Assistant | 605 W Cumberland St, Dunn, NC 28334-4823 | 2005-12-23 |
| 1982697736 | Gloria J Jordan | Physician Assistant | 104 Tilghman Drive, Dunn, NC 28334-5510 | 2005-08-26 |
| 1336140235 | Tracy L Christensen | Physician Assistant | 721tilghman Dr, Ste 100, Dunn, NC 28334-5519 | 2005-08-02 |
| 1821619081 | Victoria Marie Babson | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2020-04-29 |
| 1932753183 | Jenna Whittington Ammons | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2019-07-26 |
| 1538712534 | Alana Morgan Goldberg | Physician Assistant | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2019-07-18 |
| 1477021517 | Bruce Arnold Ward | Physician Assistant | 104 Tilghman Dr, Dunn, NC 28334-5533 | 2018-11-07 |
| 1770063604 | Mary Heather Mahiquez | Physician Assistant | 605 W Cumberland St, Dunn, NC 28334-4823 | 2018-08-20 |
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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.