JEANETTE BOSTICK


Address: 1628 Turkey Run, Fayetteville, NC 28312-7643
Phone: 9108223549

JEANETTE BOSTICK (NPI# 1629578851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629578851
Entity Type Individual
Full Name JEANETTE BOSTICK
Practice Address 1628 Turkey Run
Fayetteville
NC 28312-7643
Practice Telephone 9108223549
Practice Fax Number 3362858322
Mailing Telephone 9108223549
Mailing Fax Number 3362858322
Enumeration Date 2018-02-14
Last Update Date 2018-02-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1628 TURKEY RUN
City FAYETTEVILLE
State NC
Zip Code 28312-7643

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NPI Name Taxonomy Address Enumeration
1376185207 Christine U Jones Technician 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 2019-10-11
1497305890 Stephanie Deshawn Cain Technician 1250 Colts Pride Dr, Fayetteville, NC 28312 2019-09-17
1477057545 Accurate Sleep Diagnostic Center LLC Clinic/Center 4220 Locks Creek Church Road, Fayetteville, NC 28312 2018-03-22
1245739457 Heather S Callihan Home Health 415 Old Vander Rd, Fayetteville, NC 28312 2018-02-03
1497088371 Rainbow Pediatrics of Eastover Pediatrics 3361 Dunn Rd, Eastover, NC 28312 2009-09-10
1093947798 Nuvision Home Care, Inc. Home Health 1549 River Road, Fayetteville, NC 28312 2009-08-13
1992724157 Jactom Inc Skilled Nursing Facility 3532 Dunn Road, Fayetteville, NC 28312 2006-07-19
1134580442 Elizabeth Boyle Kleinfelder Nurse Practitioner 3551 Dunn Rd, Eastover, NC 28312 2016-03-14
1629458369 Mato Brown Social Worker 511 Middle Rd, Fayetteville, NC 28312 2015-06-08
1225109911 William I Cross Emergency Medicine 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 2006-11-13
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528696796 Faith Springs Eternal (fase), Pllc Community/Behavioral Health 2537 Gray Goose Loop, Fayetteville, NC 28306-3550 2020-04-01
1134684392 Carolina Outreach, LLC Community/Behavioral Health 324 Person St, Fayetteville, NC 28301-5736 2019-02-01
1124591094 Changing Places Therapeutic Center, Company Community/Behavioral Health 1044 Bragg Blvd Ste B, Fayetteville, NC 28301-4512 2019-01-03
1538632518 Benevolent Counseling, Pllc Community/Behavioral Health 2929 Breezewood Ave Ste 203, Fayetteville, NC 28303-5357 2019-01-02
1386128031 Alexander Youth Network Community/Behavioral Health 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 2018-09-19
1811497639 Alexander Youth Network Community/Behavioral Health 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 2018-02-19
1942718325 A Mother's Pursuit, LLC Community/Behavioral Health 511 N Reilly Rd Ste A, Fayetteville, NC 28303-2440 2018-01-18
1992213771 Deborah A Atkinson Phd Pllc Community/Behavioral Health 501 Executive Pl Ste B, Fayetteville, NC 28305-5391 2018-01-16
1841739455 Aci Support Specialists Community/Behavioral Health 414 Snowhill Rd, Fayetteville, NC 28306-9073 2017-02-15
1376082982 Aci Support Specialists Community/Behavioral Health 1931 Fairforest Dr, Fayetteville, NC 28304-2609 2017-02-15
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28312

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Dataset Information

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.

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