KIMBERLY WELLIVER (NPI# 1841736899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841736899 |
| Entity Type | Individual |
| Full Name | KIMBERLY WELLIVER |
| Practice Address |
903 Northeast Dr Suite 201 Davidson NC 28036-7416 |
| Practice Telephone | 7048967776 |
| Mailing Telephone | 7048967776 |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A12709 | NC | Behavioral Health & Social Service Providers |
| Street Address |
903 NORTHEAST DR SUITE 201 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036-7416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669424636 | Lisa Ann Firullo | Counselor | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 | 2006-05-17 |
| 1205295409 | Benjamin James Epstein | Physician Assistant | 903 Northeast Dr, Davidson, NC 28036-7416 | 2016-02-16 |
| 1699152025 | Crystal Kelly | Nurse Practitioner | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 | 2015-05-06 |
| 1831589258 | Heather Vankoughnett | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2015-01-24 |
| 1558617258 | Virgil J Foster | Social Worker | 903 Northeast Dr, Suite 102, Davidson, NC 28036-7416 | 2012-07-31 |
| 1952675902 | Deborah Bryan Parrott | Social Worker | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2012-03-07 |
| 1710275391 | Great Expectations Counseling Services | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2011-07-15 |
| 1962710830 | Linda Cook Cason, Ma Lpc, P.C. | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2010-09-14 |
| 1346577111 | Carina Wise | Marriage & Family Therapist | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2009-11-15 |
| 1932432960 | Cynthia Lee Sapp | Psychologist | 903 Northeast Dr, Davidson, NC 28036-7416 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481435 | Marina Lynn Randles | Counselor | 452 S Main St Ste H, Davidson, NC 28036-7058 | 2020-03-10 |
| 1710512157 | Shore Counseling Pllc | Counselor | 134 Jackson St, Davidson, NC 28036-9612 | 2020-03-05 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1992134456 | Jamie L. Cheveralls | Counselor | 706 Northeast Dr, Ste 1, Davidson, NC 28036-7419 | 2013-11-05 |
| 1710118195 | Julie Lynnette Martin | Counselor | 903 Northeast Drive, Suite 101, Davidson, NC 28036-7437 | 2009-08-03 |
| 1578161469 | Katelyn Southern Krieger | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2020-10-13 |
| 1982247862 | Sarah Causey | Counselor | 903 Northeast Dr Ste 201, Davidson, NC 28036-7438 | 2019-10-23 |
| 1710537899 | Davidson Family Therapy | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-09-19 |
| 1467008409 | Katherine Bray | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036-7425 | 2019-08-15 |
| Find all providers in DAVIDSON | ||||
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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.