MRS. KARA B. WILLETTE (NPI# 1992717292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992717292 |
| Entity Type | Individual |
| Full Name | MRS. KARA B. WILLETTE |
| Credential | APRN; PNP |
| Practice Address |
1708 Trawick Rd Suite 111 Raleigh NC 27604-3897 |
| Practice Telephone | 9192503478 |
| Practice Fax Number | 9192506272 |
| Mailing Telephone | 9192503478 |
| Mailing Fax Number | 9192506272 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
222149 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002333 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004325 | 05 |
| Street Address |
1708 TRAWICK RD SUITE 111 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770963597 | Domonique Blackmon | Counselor | 1708 Trawick Rd, Suite 101, Raleigh, NC 27604-3897 | 2015-06-06 |
| 1881091767 | Esteban Minsk | Counselor | 1708 Trawick Rd, Raleigh, NC 27604-3897 | 2014-11-20 |
| 1548664097 | Kathryn Sutton | Counselor | 1708 Trawick Rd, Suite 101, Raleigh, NC 27604-3897 | 2014-10-13 |
| 1023419256 | John Thomas Schweichler | Marriage & Family Therapist | 1708 Trawick Rd, Suite 101, Raleigh, NC 27604-3897 | 2014-09-08 |
| 1558777284 | Katharine Sileo | Marriage & Family Therapist | 1708 Trawick Rd, Suite 101, Raleigh, NC 27604-3897 | 2014-07-02 |
| 1477974590 | Demah Payne IIi | Counselor | 1708 Trawick Rd, Raleigh, NC 27604-3897 | 2013-12-16 |
| 1760813752 | Kevin Smith | Marriage & Family Therapist | 1708 Trawick Rd, Suite 101, Raleigh, NC 27604-3897 | 2013-12-02 |
| 1417296542 | Jean Marie Veedock | Counselor | 1708 Trawick Rd, Raleigh, NC 27604-3897 | 2013-02-08 |
| 1538298153 | Eagle Healthcare Services Inc. | Community/Behavioral Health | 1708 Trawick Rd, Raleigh, NC 27604-2180 | 2007-03-02 |
| 1225107048 | Marquita Pleshette Lyons | Nurse Practitioner | 1708 Trawick Rd, Suite 111, Raleigh, NC 27604-3897 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1033667621 | Hillary Houghton | Nurse Practitioner | 10211 Alm St # 210, Raleigh, NC 27617 | 2016-09-13 |
| 1568654903 | Malinda Teague | Nurse Practitioner | 2406 Blue Ridge Rd Ste 100, Raleigh, NC 27607 | 2007-08-09 |
| 1124235114 | Amanda Brinson Lorek | Nurse Practitioner | 7990 Corporate Drive, Raleigh, NC 27617-2030 | 2007-05-17 |
| 1457577355 | Debra Lohman Weaver | Nurse Practitioner | 10211 Alm St Ste 212, Raleigh, NC 27617 | 2007-04-18 |
| 1801012604 | Cheryl Lynn Crawford | Nurse Practitioner | 3801 Computer Dr Ste 200, Raleigh, NC 27609-6506 | 2007-04-18 |
| 1750359303 | Mary Katherine Carroll | Nurse Practitioner | 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 | 2006-03-09 |
| 1568432961 | Crystal Yazmin Mcneal | Nurse Practitioner | 314 E Hargett St, Raleigh, NC 27601-1436 | 2006-01-26 |
| 1568082642 | Aileen Pierson | Nurse Practitioner | 3350 Six Forks Rd, Raleigh, NC 27609-7233 | 2020-04-20 |
| 1285267344 | Ashley Tyler | Nurse Practitioner | 2406 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6692 | 2020-02-18 |
| Find all providers in RALEIGH | ||||
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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.