ANGELA WILBURN (NPI# 1619326436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619326436 |
| Entity Type | Individual |
| Full Name | ANGELA WILBURN |
| Credential | LPCA |
| Practice Address |
1309 S Cannon Blvd Kannapolis NC 28083-6232 |
| Mailing Address |
284 Executive Park Dr Ste. 100 Concord NC 28025-1831 |
| Practice Telephone | 7049333212 |
| Practice Fax Number | 7049333221 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2017-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A12117 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A12117 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929596 | Angela Renae Wilburn | Behavior Technician | 111 E Central Ave, Spokane, WA 99208-1108 | 2020-07-21 |
| Street Address |
1309 S CANNON BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922034008 | Patricia D. Wilson | Social Worker | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2006-06-23 |
| 1760919914 | Tamara Leonard Beck | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-05-18 |
| 1588105217 | Stephanie Kipp Gooding | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-03-14 |
| 1316493539 | Brandi Frazier | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-08-28 |
| 1932556792 | June Minier | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-05-20 |
| 1851791628 | Rolanda Turner | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-08-29 |
| 1811308935 | Felicia Stanback | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-05-12 |
| 1013344258 | Larry Keever | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-02 |
| 1770910002 | Sandra Carter | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-01 |
| 1699102921 | Dion Harris | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943579 | Sycamore Counseling Center Pllc | Counselor | 5405 Randolph Rd, Kannapolis, NC 28081-8703 | 2020-05-07 |
| 1174970438 | Jenna Little | Counselor | 4797 Mooresville Rd, Kannapolis, NC 28081-9053 | 2016-05-17 |
| 1184007908 | Rachel Reed Hinson | Counselor | 109 S Enochville Ave, Kannapolis, NC 28081-9002 | 2015-06-30 |
| 1184022055 | Kelly Ryan Pearce | Counselor | 502 Peace Haven Rd, Kannapolis, NC 28083-6957 | 2014-12-09 |
| 1831489210 | Shanise Blackmon Davis | Counselor | 339 Esther Cir, Kannapolis, NC 28083-9026 | 2011-04-19 |
| 1467787945 | Shema Philistines Carter | Counselor | 149 Fairmont Cir, Kannapolis, NC 28083-7819 | 2009-10-16 |
| 1477712016 | Sue K Gelarden | Counselor | 1664 Heather Glen Rd, Kannapolis, NC 28081-9433 | 2008-06-09 |
| 1366612020 | Ann Busser Driver | Counselor | 313 W 13th St, Kannapolis, NC 28081-2207 | 2008-03-08 |
| 1558541516 | Gabrielle Adelle Rosenthal-ayres | Counselor | 1309 S. Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-11-07 |
| 1427175959 | Robert Ronder Phillips | Counselor | 2125 Glenwood St, Kannapolis, NC 28083-3042 | 2007-03-22 |
| Find all providers in KANNAPOLIS | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
Please comment or provide details below to improve the information on ANGELA WILBURN.
| 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.