MRS. JULIE CALLICUTT (NPI# 1790981793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790981793 |
| Entity Type | Individual |
| Full Name | MRS. JULIE CALLICUTT |
| Credential | M.ED., E.I., ITFS |
| Practice Address |
5307 Broadmoor Pl Greensboro NC 27410-3420 |
| Mailing Address |
Po Box 4033 Greensboro NC 27404-4033 |
| Practice Telephone | 3369084151 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8200082K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374078 | Julie Callicutt | Physical Therapist | 600 Jefferson Ave, Memphis, TN 38105-4934 | 2020-04-13 |
| Street Address |
5307 BROADMOOR PL |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1730582677 | Eileen Ann Johnson | Rehabilitation Practitioner | 4513 Lawndale Dr, Apt. F, Greensboro, NC 27455-1879 | 2014-10-07 |
| 1992965727 | Kasey Michelle Sessoms | Rehabilitation Practitioner | 3511 W Market St # B, Greensboro, NC 27403-4443 | 2008-06-16 |
| 1982838348 | David Vanzandt | Rehabilitation Practitioner | 1915 Lendew St, Suite 200, Greensboro, NC 27408-7033 | 2009-05-13 |
| 1780869750 | Cookie Elaine Barnes | Rehabilitation Practitioner | 2300 Spring Garden St, Greensboro, NC 27403-2135 | 2008-01-08 |
| 1891816856 | Caroline Bost | Rehabilitation Practitioner | 2300 Spring Garden St, Greensboro, NC 27403-2135 | 2007-04-03 |
| 1689793218 | Lynn Wagoner | Rehabilitation Practitioner | 2300 Spring Garden St, Greensboro, NC 27403-2135 | 2007-03-28 |
| 1295854909 | Lori Flanigan Flores | Rehabilitation Practitioner | 2300 Spring Garden St, Greensboro, NC 27403-2135 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628292 | Urban Family Solutions Inc. | Rehabilitation Practitioner | 1153 Oak Crest Trl, Belmont, NC 28012-7627 | 2020-10-28 |
| 1437638749 | Kristin Tabatha Cauldwell | Rehabilitation Practitioner | Compass Point Wellness Center, 2308 E Oakbridge Way Ne, Leland, NC 28451-0230 | 2018-08-08 |
| 1912328220 | Felicia Rene Hall White | Rehabilitation Practitioner | 3006 Sikes Mill Rd, Monroe, NC 28110-9782 | 2014-01-05 |
| 1396093712 | Sakeenah Lambert | Rehabilitation Practitioner | 630 James St, Burlington, NC 27217-6008 | 2012-08-15 |
| 1710234984 | Ori-med, PC | Rehabilitation Practitioner | 930 Se Cary Pkwy Ste 100b, Cary, NC 27518-7419 | 2012-08-07 |
| 1285989871 | Beverly C Thomas | Rehabilitation Practitioner | 3123 Ross Ave, Charlotte, NC 28208-7131 | 2012-07-19 |
| 1598065674 | Terry Christopher Speaks | Rehabilitation Practitioner | 355 Galloway St, Mount Airy, NC 27030-3711 | 2010-10-23 |
| 1861641599 | Eunkuk Kim | Rehabilitation Practitioner | Beacon Hill Dr, Apt A, Winston Salem, NC 27106 | 2008-09-18 |
| 1750549440 | Joy C. Daniels | Rehabilitation Practitioner | 5620 Joshua Cain Rd, Charlotte, NC 28213-4344 | 2008-05-29 |
| 1588788855 | Mary Lyndall Shoffner | Rehabilitation Practitioner | 116 Eastway Ln, Graham, NC 27253-3704 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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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.