MR. BRILLANTE MARARAC BAYACA (NPI# 1942750757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942750757 |
| Entity Type | Individual |
| Full Name | MR. BRILLANTE MARARAC BAYACA |
| Credential | RN |
| Practice Address |
4603 Fonso Dr Knightdale NC 27545-6129 |
| Practice Telephone | 3365758693 |
| Mailing Telephone | 3365758693 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
127063 | NC | Nursing Service Providers |
| Street Address |
4603 FONSO DR |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700322401 | Norma Veronica Cyrus | Registered Nurse | 813 Clay Hill Dr, Knightdale, NC 27545-9283 | 2017-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445721 | Janelle Christine Kozeny | Registered Nurse | 1105 1/2 Arendell St, Morehead City, NC 28557-4129 | 2020-10-19 |
| 1518580992 | Travis Radcliff | Registered Nurse | 4115 Crestwood Cir, Winston Salem, NC 27107-3788 | 2020-05-20 |
| 1881216133 | Antoinette Ford | Registered Nurse | 113 Yorkshire Dr, Salisbury, NC 28144-8534 | 2020-05-09 |
| 1518588409 | Kristin Daniel | Registered Nurse | 865 Hunt Rd, Denton, NC 27239-8858 | 2020-05-01 |
| 1457909285 | Araba Awotwi | Registered Nurse | 1725 Carpenter Fletcher Rd Ste 402, Durham, NC 27713-2271 | 2019-08-26 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1518482710 | Raymond Tanwani Tah | Registered Nurse | 9159 Perseverance Dr, Harrisburg, NC 28075-8388 | 2017-08-08 |
| 1851824114 | Debra Lynn Draper | Registered Nurse | 29330 Nelson Mountain Rd, Albemarle, NC 28001-7520 | 2017-04-04 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
Please comment or provide details below to improve the information on MR. BRILLANTE MARARAC BAYACA.
| 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.