INNER BANKS FAMILY MEDICINE (NPI# 1740677921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740677921 |
Entity Type | Organization |
Organization Name | INNER BANKS FAMILY MEDICINE |
Practice Address |
543 Us Highway 64 W Plymouth NC 27962-2144 |
Practice Telephone | 2522179100 |
Mailing Telephone | 2527910993 |
Mailing Fax Number | 2527910996 |
Enumeration Date | 2015-04-24 |
Last Update Date | 2015-10-13 |
Authorized Official Name | RENEA PRICE (FAMILY NURSE PRACTITIONER) |
Authorized Official Telephone | 2522172483 |
Authorized Official Credential | FNP-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004780 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
543 US HIGHWAY 64 W |
City | PLYMOUTH |
State | NC |
Zip Code | 27962-2144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712163 | Whitley Arvis | Nurse Practitioner | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-08-27 |
1912532003 | Williamston Hospital Corporation | Family Medicine | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-03-09 |
1427682640 | Williamston Hospital Corporation | Clinic/Center | 543 Us Highway 64 W, Plymouth, NC 27962-2144 | 2020-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
Find all providers in zip 27962 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
1710543863 | Kristen Marie Kubik | Nurse Practitioner | 13970 Oakland Ct, Plymouth, MI 48170-5292 | 2019-05-14 |
1679931505 | Hillary Costa | Nurse Practitioner | 45 Resnik Rd Ste 302, Plymouth, MA 02360-4883 | 2016-02-06 |
1811374747 | Jill Marie Geer | Nurse Practitioner | 510 W Adams St, Suite 150, Plymouth, IN 46563-1765 | 2015-04-29 |
1952706210 | Elizabeth Nelson-frazier | Nurse Practitioner | 50 Aldren Road, Plymouth, MA 02061-2711 | 2014-10-29 |
1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
1730595943 | Nicole Lee | Nurse Practitioner | 10 Bay Cliff Cir, Plymouth, MA 02360-1458 | 2014-07-08 |
1700122579 | Renae Charlene Atkins | Nurse Practitioner | 2855 Miller Dr Ste 119, Plymouth, IN 46563-8091 | 2012-12-21 |
1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
1083987358 | Allison Woolley Ludlow | Nurse Practitioner | 7285 W 21200 N, Plymouth, UT 84330-0100 | 2012-02-17 |
Find all providers in PLYMOUTH |
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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.