NORTH CAROLINA STATE UNIVERSITY (NPI# 1881712842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881712842 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA STATE UNIVERSITY |
| Other Organization Name | STUDENT HEALTH SERVICES |
| Practice Address |
2815 Cates Ave Cb 7304 Raleigh NC 27695-7304 |
| Practice Telephone | 9195133285 |
| Practice Fax Number | 9195131994 |
| Mailing Telephone | 9195133285 |
| Mailing Fax Number | 9195131994 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JERRY BARKER (DIRECTOR) |
| Authorized Official Telephone | 9195133285 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Student Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304286 | North Carolina State University | Dietitian, Registered | 512 Brickhaven Dr, Raleigh, NC 27606-6345 | 2018-08-01 |
| 1578999827 | North Carolina State University | Community/Behavioral Health | 512 Brickhaven Dr, Suite 240a, Raleigh, NC 27606-1492 | 2013-09-18 |
| 1689951022 | North Carolina State University | Clinic/Center | 2815 Cates Ave, Cb 7304, Raleigh, NC 27695-0001 | 2011-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH CAROLINA STATE UNIVERSITY | 2701 Sullivan Dr Ste 240, Raleigh, NC 27695-0001 |
| Oklahoma Business Registrations | NORTH CAROLINA STATE UNIVERSITY | 1210 Varsity Dr, Campus Box 7207, Raleigh, NC 27695 |
| Colorado Business Entities | North Carolina State University Alumni Association, Inc. | 2450 Alumni Drive, Campus Box 7503, Raleigh, NC 27695 |
| Oklahoma Business Registrations | NORTH CAROLINA STATE UNIVERSITY ALUMNI ASSOCIATION, INC. | 1855 W Baseline Rd Ste 250, Mesa, AZ 85202 |
| System for Award Management (SAM) Entities | NORTH CAROLINA STATE UNIVERSITY FOUNDATION, INC. | 1210 Varsity Dr, Raleigh, NC 27606-2084 |
| Oklahoma Business Registrations | NORTH CAROLINA STATE UNIVERSITY FOUNDATION, INC. | 20 Watauga Club Dr, Campus Box 7207, Raleigh, NC 27695 |
| Street Address |
2815 CATES AVE CB 7304 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27695-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854728 | Catherine O'fallon Vinzani | Nurse Practitioner | 2815 Cates Ave, Box 7304, Raleigh, NC 27695-7304 | 2006-01-09 |
| 1194236588 | Suha Najjar | Nutritionist | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2017-10-12 |
| 1801339320 | Noah Martinson | Social Worker | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2016-12-01 |
| 1326403239 | Ashley Pinet | Dietitian, Registered | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2015-12-18 |
| 1689951022 | North Carolina State University | Clinic/Center | 2815 Cates Ave, Cb 7304, Raleigh, NC 27695-0001 | 2011-11-14 |
| 1497987333 | Jacquetta Woods Melvin | Physician Assistant | 2815 Cates Ave, Campus Box 7304, Raleigh, NC 27695-7304 | 2009-08-11 |
| 1316182991 | Alison L Brim | Nurse Practitioner | 2815 Cates Ave, Campus Box 7304, Raleigh, NC 27695-7304 | 2008-12-10 |
| 1770745010 | Angel Bliss Johnson | Counselor | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2008-06-27 |
| 1023146677 | Jason Troiano | Family Medicine | 2815 Cates Ave, Raleigh, NC 27695-7304 | 2007-03-02 |
| 1851429476 | Carolyn Garrett-piggott | Family Medicine | 2815 Cates Ave, Raleigh, NC 27695-7304 | 2007-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911150 | Joy Bataille | Pharmacist | 2815 Cates Avenue, Raleigh, NC 27695 | 2017-06-08 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1023523552 | Soo Young Uhm | Dietitian, Registered | 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 | 2017-12-06 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1457577975 | Sasha J Fradin | Psychologist | Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 | 2007-04-17 |
| 1699390021 | Scott Donald Ensell | Specialist/Technologist | 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 | 2020-06-11 |
| Find all providers in zip 27695 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124138243 | Nc State University Student Health | Clinic/Center | 7304 Campus, 2815 Cates Ave, Raleigh, NC 27695-7304 | 2006-08-30 |
| 1689951022 | North Carolina State University | Clinic/Center | 2815 Cates Ave, Cb 7304, Raleigh, NC 27695-0001 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450887 | Brocker Health Center/ Unc Charlotte | Clinic/Center | 9201 University City Blvd Student Health Center, Charlotte, NC 28223-0001 | 2020-09-02 |
| 1700439023 | Fayetteville State University | Clinic/Center | 1200 Murchison Road, Fayetteville State University The, Fayetteville, NC 28301-4252 | 2019-07-17 |
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1144649948 | Winston-salem State University | Clinic/Center | 1250 S Mlk Jr Dr, Winston Salem, NC 27107-1370 | 2014-04-09 |
| 1538394358 | The University of North Carolina At Asheville | Clinic/Center | One University Heights, Weizenblatt Building, Asheville, NC 28804-8514 | 2009-05-22 |
| 1407038615 | The James A Taylor Student Health Services Sports Medicine Department | Clinic/Center | The James A Taylor Student Health Services Cb# 7470, The University of North Carolina At Chapel Hill, Chapel Hill, NC 27599-7470 | 2007-11-29 |
| 1083807325 | Adolescent Care Center | Clinic/Center | 88 Us Highway 158 W, Gatesville, NC 27938-9438 | 2007-08-21 |
| 1578764312 | Hope Physicians | Clinic/Center | 2502 N Herritage Street, Suite A, Kinston, NC 28501-3567 | 2007-05-30 |
| 1033321005 | Anna Gove Student Health Services | Clinic/Center | 107 Gray Dr., Greensboro, NC 27402 | 2007-05-04 |
| 1073733390 | Davidson College Student Health Service | Clinic/Center | 514 N. Main St, Davidson, NC 28036 | 2007-04-27 |
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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.