TERESA A POOLE (NPI# 1790757698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790757698 |
| Entity Type | Individual |
| Full Name | TERESA A POOLE |
| Credential | PHD |
| Practice Address |
692 N Spence Ave Suite B Goldsboro NC 27534-4339 |
| Practice Telephone | 9197788757 |
| Practice Fax Number | 9197788758 |
| Mailing Telephone | 9197788757 |
| Mailing Fax Number | 9197788758 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1791 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 0473E | 01 |
| NC | 6000096 | 05 | |
| NC | MEDCOST | E1424 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942435706 | Teresa Michelle Poole | Nurse Practitioner | 9040a Jackson Ave Madigan Army Medical Center Jblm, Tacoma, WA 98431-6307 | 2009-05-22 |
| 1891709473 | Teresa Poole | Social Worker | 1403 Pemberton Rd Ste 306, Richmond, VA 23238-4474 | 2006-07-28 |
| 1063483477 | Teresa H Poole | Nurse Practitioner | 400 N Jefferson St, Lewisburg, WV 24901 | 2006-02-01 |
| Street Address |
692 N SPENCE AVE SUITE B |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336343664 | Teresa A. Poole, Ph.d., Pa | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225431356 | Calvin Graham | Psychologist | 501 Shelley Dr, Goldsboro, NC 27534-3251 | 2014-10-03 |
| 1528113446 | Alisa R Young | Psychologist | 1700 E Ash St Ste 203, Goldsboro, NC 27530-4097 | 2007-01-23 |
| 1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
| 1316938731 | Jonathan Alan Barnes | Psychologist | 301 Violeta Cir, Goldsboro, NC 27534-3245 | 2005-11-03 |
| 1811349699 | Astrid Ertola | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2016-07-06 |
| 1508213158 | Cynthia Lewis | Psychologist | 1401 W Ash St, Goldsboro, NC 27530-1078 | 2016-05-24 |
| 1518220185 | Cynthia Koempel | Psychologist | 201 Stevens Mill Rd, Goldsboro, NC 27530-1056 | 2012-06-19 |
| 1508130576 | Natalie A. Kemp | Psychologist | 1214 Parkway Dr, Goldsboro, NC 27534-3448 | 2012-03-08 |
| 1922334416 | Jillian Fitch | Psychologist | 2719 Graves Dr Ste 7, Goldsboro, NC 27534-4536 | 2009-10-19 |
| 1336343664 | Teresa A. Poole, Ph.d., Pa | Psychologist | 692 N Spence Ave, Suite B, Goldsboro, NC 27534-4339 | 2007-06-12 |
| Find all providers in GOLDSBORO | ||||
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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.