MRS. THERESA BURGESS KUBICKI (NPI# 1801949474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801949474 |
| Entity Type | Individual |
| Full Name | MRS. THERESA BURGESS KUBICKI |
| Credential | PA-C |
| Practice Address |
212 Ashville Ave Cary NC 27511-6669 |
| Mailing Address |
8329 Glory Rd Zebulon NC 27597-8491 |
| Practice Telephone | 9198591136 |
| Practice Fax Number | 9198594240 |
| Mailing Telephone | 9192694992 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 101275 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0101275 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
212 ASHVILLE AVE |
| City | CARY |
| State | NC |
| Zip Code | 27511-6669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291695 | Delores C Moore | Internal Medicine | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2005-11-02 |
| 1841559408 | Kelsey D Busche | Physical Therapist | 212 Ashville Ave, Suite 30, Cary, NC 27518-6669 | 2012-05-16 |
| 1407115116 | Wake Orthopaedics, LLC | Clinic/Center | 212 Ashville Ave, Ste 30, Cary, NC 27518-6669 | 2012-05-15 |
| 1548539380 | Wake Specialty Physicians | Durable Medical Equipment & Medical Supplies | 212 Ashville Ave, Suite 30, Cary, NC 27518-6669 | 2011-12-23 |
| 1013297365 | Wake Specialty Physicians, LLC | Clinic/Center | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2011-08-18 |
| 1851552673 | Jennifer Thompson | Family Medicine | 212 Ashville Ave, Cary, NC 27518-6669 | 2008-06-24 |
| 1649490699 | Megan Danekas | Family Medicine | 212 Ashville Ave, Suite 10, Cary, NC 27518-6669 | 2007-05-01 |
| 1780710764 | Katherine Elizabeth Bogart | Physician Assistant | 212 Ashville Ave, Suite 10 Accent Urgent Care and After Hours Pediatric, Cary, NC 27511 | 2007-02-26 |
| 1912050444 | Jill B. Shinnick | Physician Assistant | 212 Ashville Ave, Cary, NC 27511-6669 | 2007-01-19 |
| 1437258522 | Scott Alan Mcgeary | Pediatrics | 212 Ashville Ave, Suite 10, Cary, NC 27511 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336438829 | Claire E Goodwin | Physician Assistant | 115 Cresent Commons Drive, Suite 200, Cary, NC 27518-8102 | 2011-04-05 |
| 1114988292 | Virginia A Jethro | Physician Assistant | 1110 Se Cary Pkwy, Suite 206, Cary, NC 27518-7420 | 2006-03-29 |
| 1073572673 | Cheryl A. Beauman | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2006-03-22 |
| 1356997381 | Melanie Buchanan Overcash | Physician Assistant | 540 New Waverly Pl Ste 200, Cary, NC 27518-7422 | 2019-08-15 |
| 1396390514 | Alexandra Rosse Ginn | Physician Assistant | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2019-08-05 |
| 1972083020 | Courtney Nicole Antoinette Lubick | Physician Assistant | 100 Cornerstone Dr, Cary, NC 27519-8453 | 2018-08-17 |
| 1740738061 | Veronica Crump | Physician Assistant | 3700 Nw Cary Pkwy Ste 110, Cary, NC 27513-8446 | 2016-09-15 |
| 1073978854 | Amy Arruda | Physician Assistant | 400 Keisler Dr, Cary, NC 27518-7069 | 2015-12-22 |
| 1396129300 | Katherine Peregrin | Physician Assistant | 210 Towne Village Dr, Weppa, Cary, NC 27513-8910 | 2015-07-20 |
| 1881932481 | Kelly Weitz | Physician Assistant | 115 Kildaire Park Drive, Suite 301, Cary, NC 27518 | 2013-01-17 |
| Find all providers in CARY | ||||
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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.