PENNI RENE COATES (NPI# 1619142320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619142320 |
Entity Type | Individual |
Full Name | PENNI RENE COATES |
Credential | MSN, RN, NNP-BC |
Practice Address |
810 Fairgrove Church Rd Hickory NC 28602-9617 |
Practice Telephone | 8283205125 |
Mailing Telephone | 8283205125 |
Enumeration Date | 2008-04-23 |
Last Update Date | 2013-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
201268 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
810 FAIRGROVE CHURCH RD |
City | HICKORY |
State | NC |
Zip Code | 28602-9617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780680090 | Clare Lawrence Gray | Internal Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2005-06-22 |
1184239485 | Heather Spencer | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2020-09-14 |
1023646569 | Donna C Sandifer | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2020-03-30 |
1396394144 | Bryce C Lackey | Nurse Anesthetist, Certified Registered | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-09-04 |
1861053415 | Caitlyn Droste | Dietitian, Registered | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-06-25 |
1518524818 | Catawba Valley Medical Center | Health Educator | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-05-22 |
1588126767 | Bao Vu Nguyen | Pharmacist | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2019-04-04 |
1922539238 | Phoebe Glazer | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-03-27 |
1568909042 | James Lisowski | Physician Assistant | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-01-23 |
1780132241 | Crystal Johnson Crutchfield | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2016-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
Find all providers in zip 28602 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568900660 | Dlp Frye Medical Group LLC | Nurse Practitioner | 415 N Center St, Suite 203, Hickory, NC 28601-5057 | 2017-02-08 |
1114166618 | Patricia Ann Stevens | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2009-02-07 |
1275756645 | Donna Foy | Nurse Practitioner | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
1003889965 | Paula Beth Roach | Nurse Practitioner | Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-02-10 |
1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
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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.