JANET LYNN THACKER (NPI# 1609011238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609011238 |
Entity Type | Individual |
Full Name | JANET LYNN THACKER |
Credential | NP |
Practice Address |
1101 S Main St Kernersville NC 27284-7478 |
Practice Telephone | 3369964021 |
Mailing Telephone | 3369964021 |
Enumeration Date | 2008-12-11 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004244 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7004289 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
Medical Center Blvd, Winston Salem, NC 271570001 | 3367162255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467074062 | Janet Christine Thacker | Counselor | 202 Carmack Dr, White House, TN 37188-8925 | 2020-05-18 |
Street Address |
1101 S MAIN ST |
City | KERNERSVILLE |
State | NC |
Zip Code | 27284-7478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992705693 | Bette M Ferree | Nurse Practitioner | 1101 S Main St, Minuteclinic, Kernersville, NC 27284-7478 | 2005-07-26 |
1881212207 | Kaitlyn Price | Pharmacist | 1101 S Main St, Kernersville, NC 27284-7478 | 2020-07-13 |
1205463288 | Ylber Rraci | Pharmacist | 1101 S Main St, Kernersville, NC 27284-7478 | 2020-03-27 |
1992276208 | Laquasha Louise Watkins | Nurse Practitioner | 1101 S Main St, Kernersville, NC 27284-7478 | 2018-12-13 |
1962913822 | Alicia Saville Cockerham | Nurse Practitioner | 1101 S Main St, Kernersville, NC 27284-7478 | 2017-10-18 |
1669827978 | Elana J Ratliff | Nurse Practitioner | 1101 S Main St, Kernersville, NC 27284-7478 | 2016-04-25 |
1841549664 | Laura Cole | Nurse Practitioner | 1101 S Main St, Kernersville, NC 27284-7478 | 2012-09-07 |
1922332295 | Constance Carlton | Nurse Practitioner | 1101 S Main St, Kernersville, NC 27284-7478 | 2009-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
Find all providers in zip 27284 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265046312 | Adjara Issifu | Nurse Practitioner | 950 Graves St, Kernersville, NC 27284-3262 | 2020-09-05 |
1477163566 | Kimberly Lynn Baggerly | Nurse Practitioner | 1024 Branchwood Dr, Kernersville, NC 27284-2210 | 2020-08-04 |
1164048385 | Jason Alford | Nurse Practitioner | 820 Eastgrove Ct, Kernersville, NC 27284-7670 | 2020-06-23 |
1568022911 | Amy Crouse | Nurse Practitioner | 1424 Davenport Ct, Kernersville, NC 27284-3678 | 2019-06-18 |
1427618248 | Avery Carrigan | Nurse Practitioner | 900 Old Winston Rd Ste 204b, Kernersville, NC 27284-9965 | 2019-06-14 |
1710446497 | Lindsay Boles | Nurse Practitioner | 771 Park Centre Dr, Kernersville, NC 27284-3776 | 2019-03-13 |
1134526015 | Best Clinic Pllc | Nurse Practitioner | 950 Graves St Unit 4 B, Kernersville, NC 27284-7562 | 2014-11-20 |
1538445556 | Sadou N/a Ibrahim | Nurse Practitioner | 950 Graves Street Unit 4 B, Kernersville, NC 27284 | 2011-10-24 |
1659509594 | Erin Ringle Judge | Nurse Practitioner | 490 Pineview Dr Ste A, Kernersville, NC 27284-3995 | 2009-06-30 |
1740493709 | Lauri P Cox | Nurse Practitioner | Lyndhurst Gynecologic Associates, 445 Pineview Street, Suite 110, Kernersville, NC 27284 | 2007-05-07 |
Find all providers in KERNERSVILLE |
City | KERNERSVILLE |
Zip Code | 27284 |
Please comment or provide details below to improve the information on JANET LYNN THACKER.
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.