MRS. BREONY MILLER VINSON (NPI# 1861628695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861628695 |
| Entity Type | Individual |
| Full Name | MRS. BREONY MILLER VINSON |
| Credential | PA-C |
| Practice Address |
3505 Converse Dr Suite 200 Wilmington NC 28403-6131 |
| Practice Telephone | 9103925634 |
| Practice Fax Number | 9103925654 |
| Mailing Telephone | 9103925634 |
| Mailing Fax Number | 9103925654 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001001833 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3505 CONVERSE DR SUITE 200 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532248 | Dimock Weinberg & Cherry Dds Pllc | Dentist | 3505 Converse Dr, Suite 175, Wilmington, NC 28403-6131 | 2006-07-19 |
| 1225524473 | Michelle Espinoza | Behavioral Analyst | 3505 Converse Dr, Wilmington, NC 28403-6131 | 2018-07-10 |
| 1821519125 | Ashley Jill Koehler | Occupational Therapist | 3505 Converse Dr, Wilmington, NC 28403-6131 | 2017-06-28 |
| 1760865760 | Kidzcare Pediatrics, PC | Pediatrics | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2015-07-08 |
| 1447638341 | Coastal Pediatric Associates, Pllc | Specialist | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2015-05-12 |
| 1891194015 | Raleigh Durham Medical Group, Pa | Pediatrics | 3505 Converse Dr, Ste 200, Wilmington, NC 28403-6131 | 2014-08-14 |
| 1821327768 | Shannon Dee Keely | Registered Nurse | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2009-12-23 |
| 1588898571 | Whitney Nugent King | Pediatrics | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2009-05-06 |
| 1740342112 | Shawn Marie Desmond | Nurse Practitioner | 3505 Converse Dr, Suite 200, Wilmington, NC 28403-6131 | 2006-12-14 |
| 1912094301 | Thomas L Blackstone | Pediatrics | 3505 Converse Dr, Ste 200, Wilmington, NC 28403-6132 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750990461 | Kyra Isaacs | Physician Assistant | 1901 Greenbriar Dr, Wilmington, DE 19810-4320 | 2020-07-28 |
| 1144847252 | Stephanie Marie Barczak | Physician Assistant | 11 Amherst Rd, Wilmington, MA 01887-2608 | 2020-07-06 |
| 1457984676 | Jessica Patrick Lancaster | Physician Assistant | 602 Jennings Dr, Wilmington, NC 28403-2732 | 2020-02-17 |
| 1730727348 | Lea Ann Cenname | Physician Assistant | 722 Mohican Trl, Wilmington, NC 28409-3429 | 2019-12-13 |
| 1467944645 | Julie Renee Sims | Physician Assistant | 3411 Silverside Rd Ste 107, Wilmington, DE 19810-4806 | 2018-06-04 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1336658657 | Eric Dees | Physician Assistant | 501 W 14th St Fl 1, Wilmington, DE 19801-1013 | 2017-09-29 |
| 1174047591 | Carlie M Black | Physician Assistant | 4815 Oleander Dr Ste 100, Wilmington, NC 28403-5116 | 2017-07-27 |
| 1497294581 | Kathleen Lauren Meyer | Physician Assistant | 6419 Carolina Beach Rd Ste A, Wilmington, NC 28412-3672 | 2017-02-22 |
| 1477090967 | David Romano | Physician Assistant | 15 Kilmarnock St, Wilmington, MA 01887-3061 | 2017-01-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.