DR. JEFF RANDALL MISHOE (NPI# 1003067695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003067695 |
| Entity Type | Individual |
| Full Name | DR. JEFF RANDALL MISHOE |
| Credential | D.MIN. |
| Practice Address |
310 East Blvd C-8 Charlotte NC 28203-4891 |
| Practice Telephone | 7043441100 |
| Practice Fax Number | 7043441100 |
| Mailing Telephone | 7043441100 |
| Mailing Fax Number | 7043441100 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
15 | NC | Behavioral Health & Social Service Providers |
| Street Address |
310 EAST BLVD C-8 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912328733 | Howard William Tyas Jr. | Counselor | 1204 The Plz, Suite 4, Charlotte, NC 28205-5053 | 2013-12-20 |
| 1962781344 | Teresa Sires Mcilwain | Counselor | 3325 Washburn Ave Ste 121, Charlotte, NC 28205-7024 | 2011-08-16 |
| 1144558941 | Charles Gordon Helms | Counselor | 6147 Kingstree Dr, Charlotte, NC 28210-5443 | 2009-12-07 |
| 1437391182 | Marilyn Hull Cirulis | Counselor | 1801 East 5th Street, Suite 110, Charlotte, NC 28204-2472 | 2009-03-27 |
| 1992941090 | Vicki Maria Haynes | Counselor | 12033 Red Leaf Dr, Charlotte, NC 28215-1002 | 2008-12-20 |
| 1962610121 | Sarah Melissa Rieth | Counselor | 115 W 7th St, Charlotte, NC 28202-2127 | 2007-05-20 |
| 1306817242 | John Arey Jr. | Counselor | 1801 E. 5th St. Ste 110, Charlotte, NC 28204-2472 | 2006-01-30 |
| 1801872445 | James William Pruett | Counselor | 3900-b Park Rd, Charlotte, NC 28209 | 2005-12-15 |
| 1447773031 | Catherine Stowe Carstarphen | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-07-25 |
| 1659802072 | Reginald Blackmon Sr. | Counselor | 525 North Tryon Street, Suite 1636, Charlotte, NC 28202 | 2017-03-27 |
| Find all providers in CHARLOTTE | ||||
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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.