ALEATHA D DESHIELDS THOMAS (NPI# 1811162340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811162340 |
| Entity Type | Individual |
| Full Name | ALEATHA D DESHIELDS THOMAS |
| Practice Address |
Dumc 3885 M04 Davison Bldg Durham NC 27710-0001 |
| Practice Telephone | 9196842474 |
| Practice Fax Number | 9196818496 |
| Mailing Telephone | 9196842474 |
| Mailing Fax Number | 9196818496 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | T36435 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOC MASTECTOMY FITTER | T36435 | 01 |
| Street Address |
DUMC 3885 M04 DAVISON BLDG |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1902137995 | Stacee Christine Thornton | Orthotic Fitter | 105 Newsom St Ste 105, Durham, NC 27704-2197 | 2010-01-15 |
| 1811167521 | Christina Bernard | Orthotic Fitter | 105 W Nc Highway 54, Ste 267, Durham, NC 27713-6646 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| 1710251517 | John F Bachman | Orthotic Fitter | 3540 Clemmons Road, Suite 124, Clemmons, NC 27012-9396 | 2012-02-27 |
| 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.