LEILANI JUMAWID (NPI# 1871900548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871900548 |
| Entity Type | Individual |
| Full Name | LEILANI JUMAWID |
| Practice Address |
167 Moore Rd King NC 27021-8770 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3366736450 |
| Practice Fax Number | 3366736449 |
| Mailing Telephone | 3367650710 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F0714180 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
167 MOORE RD |
| City | KING |
| State | NC |
| Zip Code | 27021-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596211 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 167 Moore Rd, King, NC 27021-8770 | 2005-08-23 |
| 1710444112 | Forsyth Medical Group, LLC | Pediatrics | 167 Moore Rd, King, NC 27021-8770 | 2019-02-22 |
| 1356824395 | Jessica Campbell | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2018-09-14 |
| 1578073755 | Davis Templeton | Physical Therapist | 167 Moore Rd, King, NC 27021-8770 | 2017-10-02 |
| 1407376635 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 167 Moore Rd, King, NC 27021 | 2017-06-20 |
| 1427597913 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2017-02-16 |
| 1649713462 | Lifebrite Hospital Group of Stokes, LLC | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1295278174 | Lifebrite Hospital Group of Stokes, LLC | General Acute Care Hospital | 167 Moore Rd, King, NC 27021-8770 | 2016-11-28 |
| 1679939573 | Novant Medical Group Inc | Urology | 167 Moore Rd, King, NC 27021-8770 | 2016-01-07 |
| 1780049353 | Medicomp, Inc. | Clinic/Center | 167 Moore Rd, King, NC 27021-8770 | 2015-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1669681854 | King Medical Associates | Family Medicine | 202 Scenic Drive, King, NC 27021 | 2007-05-22 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| Find all providers in zip 27021 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542575 | Jamie Morgan Blackwelder | Nurse Practitioner | J R Jones Medical Center, 402 West King St, King, NC 27021 | 2006-03-15 |
| 1508417114 | Jonathan Walton Walker | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2019-09-25 |
| 1235612813 | Emily Marion Fischer | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2018-09-10 |
| 1437521861 | Brittney Thompson | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2015-10-26 |
| 1033518311 | Michele Mariano Lizano | Nurse Practitioner | 167 Moore Rd Ste 201, King, NC 27021 | 2014-08-22 |
| 1477994507 | Renee Childress Haynes | Nurse Practitioner | 167 Moore Rd Ste 201, King, NC 27021-8770 | 2013-07-17 |
| 1689924391 | Julie Tuttle Tackett | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2012-09-11 |
| 1881995371 | Deborah Ruth James | Nurse Practitioner | 167 Moore Rd Ste 201, King, NC 27021 | 2010-11-15 |
| 1750690285 | Laurie Reynolds Bowles | Nurse Practitioner | 216 Moore Rd, King, NC 27021-8703 | 2010-10-01 |
| 1942524418 | Katherine Blackmon Haymore | Nurse Practitioner | 167 Moore Rd Ste 201, King, NC 27021-8770 | 2010-03-26 |
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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.