MS. ALIX CAITLIN COTTLE (NPI# 1679956882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679956882 |
| Entity Type | Individual |
| Full Name | MS. ALIX CAITLIN COTTLE |
| Credential | N.P. |
| Practice Address |
403 Fairview St Clinton NC 28328-2399 |
| Practice Telephone | 9105926011 |
| Practice Fax Number | 9105920811 |
| Mailing Telephone | 9105900619 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
153975 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 00537531 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 Fairview St, Clinton, NC 283282312 | 9105926011 |
| Street Address |
403 FAIRVIEW ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941626 | Linda Alphin Heath | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2311 | 2005-09-01 |
| 1770138984 | Cmc Geriatric Services | Family Medicine | 403 Fairview St, Clinton, NC 28328-2399 | 2019-08-05 |
| 1124557616 | Sharry Jackson Malpass | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2399 | 2017-06-08 |
| 1164969614 | Carrie L Green | Physician Assistant | 403 Fairview St, Clinton, NC 28328-2399 | 2017-01-23 |
| 1871976845 | Ashley Leeann Tuttle | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2311 | 2015-07-08 |
| 1598160822 | Unc Physicians Network Group Practices, LLC | Pediatrics | 403 Fairview St, Clinton, NC 28328-2311 | 2014-10-29 |
| 1811305923 | Karen Ryman Bradfield | Nurse Practitioner | 403 Fairview St, Clinton, NC 28328-2399 | 2014-08-01 |
| 1164793576 | Unc Physicians Network, LLC | Pediatrics | 403 Fairview St, Clinton, NC 28328-2311 | 2012-01-17 |
| 1548405962 | Crystal Gillis | Registered Nurse | 403 Fairview St, Clinton, NC 28328-2311 | 2008-12-15 |
| 1447381959 | Tanya Sue Todd | Physician Assistant | 403 Fairview St, Clinton, NC 28328-2399 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463300 | Sheryl Punzal Deguzman-buenaventura | Nurse Practitioner | 12410 Hillantrae Dr, Clinton, MD 20735-6510 | 2020-09-25 |
| 1003426396 | Rollie Stewart Walker | Nurse Practitioner | 114 Riverview Dr, Clinton, OK 73601-1805 | 2020-08-03 |
| 1316585813 | Sherkeysha Henderson | Nurse Practitioner | 106 Rosalie Ct, Clinton, MS 39056-6053 | 2019-12-16 |
| 1528600707 | Allison Maddox | Nurse Practitioner | 7506 Abelia Dr, Clinton, MD 20735-3135 | 2019-10-09 |
| 1205486347 | Elizabeth Oti | Nurse Practitioner | 313 Park Edge Dr, Clinton, PA 15026-1785 | 2019-09-19 |
| 1326609074 | Lauren Blakley | Nurse Practitioner | 2130 N Charles G Seivers Blvd Ste 3, Clinton, TN 37716-6705 | 2019-06-24 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1205490380 | Cynthia Diane Saylors | Nurse Practitioner | 64 Somerset Dr, Clinton, IL 61727-2478 | 2019-04-24 |
| 1720546864 | Lesley Brooke Keith | Nurse Practitioner | 422 Highway 95 E, Clinton, AR 72031-6947 | 2019-03-07 |
| 1578020822 | Caroline V Green | Nurse Practitioner | 768 Cherry Stone Dr, Clinton, MS 39056-2015 | 2019-02-22 |
| Find all providers in CLINTON | ||||
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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.