MS. MARCELLA MASSENBURG ATWATER (NPI# 1700038353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700038353 |
| Entity Type | Individual |
| Full Name | MS. MARCELLA MASSENBURG ATWATER |
| Credential | PMHCNS-BC |
| Practice Address |
1008 Bowler Dr Durham NC 27703-6311 |
| Practice Telephone | 9196874013 |
| Practice Fax Number | 9196804010 |
| Mailing Telephone | 9196874013 |
| Mailing Fax Number | 9196804010 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2014-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
069765 | NC | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
69765 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1700038353 | 05 |
| Street Address |
1008 BOWLER DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316130990 | Kelly L Smedley | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2007-08-27 |
| 1619598893 | Waypoint Counseling & Maternal Wellness, Pllc | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2020-04-29 |
| 1073998928 | Emowellness Incorporated | Clinical Nurse Specialist | 1058 W Club Blvd, Suite 614, Durham, NC 27701-1104 | 2015-07-21 |
| 1518089713 | Alicia Maria Gonzalez | Clinical Nurse Specialist | 400 Crutchfield St, Suite C, Durham, NC 27704-2771 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393410 | Cathy Showfety Inc. | Clinical Nurse Specialist | 408 1/2 State St, Greensboro, NC 27405-5657 | 2011-10-17 |
| 1699078246 | Mary Lynn Piven | Clinical Nurse Specialist | 365 Highway 87 N, Pittsboro, NC 27312 | 2010-12-20 |
| 1922210558 | William Garrett Stone | Clinical Nurse Specialist | 309 W Weaver St, Suite 200, Carrboro, NC 27510-6005 | 2007-05-04 |
| 1609992007 | Carol Faye Peindl | Clinical Nurse Specialist | 12617 Kencot Ct, Huntersville, NC 28078-5715 | 2007-03-21 |
| 1679667133 | Deborah Herring Perry | Clinical Nurse Specialist | 208 Malloy Street, Unit E, Goldsboro, NC 27534 | 2006-10-02 |
| 1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
| 1730152620 | Marianne Mciver | Clinical Nurse Specialist | 234 E Raleigh St, Siler City, NC 27344-3416 | 2006-02-10 |
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| 1699398529 | Gina Bourne | Clinical Nurse Specialist | 227 N Main St Ste A, Troy, NC 27371-3059 | 2020-05-27 |
| 1700408200 | Lisa Granieri | Clinical Nurse Specialist | 277 Biltmore Ave, Asheville, NC 28801-4157 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
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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.