ROYA TAHERI (NPI# 1013441823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013441823 |
| Entity Type | Individual |
| Full Name | ROYA TAHERI |
| Practice Address |
1700 Pamalee Dr Fayetteville NC 28301-2824 |
| Mailing Address |
2511 Sickle Way Fayetteville NC 28306-4552 |
| Practice Telephone | 9108492096 |
| Mailing Telephone | 9109643911 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A4980 | NC | Ambulatory Health Care Facilities |
| Street Address |
1700 PAMALEE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699886085 | Highland House of Fayetteville, Inc | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2006-08-31 |
| 1720556798 | Jennifer Stephens | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-11-08 |
| 1033694583 | Felicia Stakely | Physical Medicine & Rehabilitation | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-10-01 |
| 1740771047 | Faith N Marine | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-05-22 |
| 1013418177 | Ilona Karin Ekstrand | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-02-23 |
| 1164935227 | Hollie Clouse | Occupational Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2017-11-13 |
| 1073023305 | Nancy Rodriguez | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2017-09-29 |
| 1073964417 | Legacy Healthcare Services Inc. | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2016-06-27 |
| 1881064202 | Stacey Crawley Bradford | Occupational Therapist | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2015-09-28 |
| 1821474784 | Christopher Colt Marion | Physical Therapist | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683032 | Red Earth Acupuncture | Clinic/Center | 1836 Highway 54 W, Fayetteville, GA 30214-4742 | 2019-05-06 |
| 1477033728 | Swetnam Cosmetic Surgery, Pllc | Clinic/Center | 1695 E Rainforest Rd Ste 3, Fayetteville, AR 72703-5385 | 2018-08-16 |
| 1023500725 | Greenbrook Tms Fayetteville LLC | Clinic/Center | 1991 Fordham Dr Ste 202, Fayetteville, NC 28304-3774 | 2018-05-30 |
| 1871013367 | Shiloh Health and Longevity | Clinic/Center | 1794 E Joyce Blvd Ste 1, Fayetteville, AR 72703-5257 | 2017-06-26 |
| 1942687900 | St Marys Hca of South Carolina | Clinic/Center | 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 | 2015-04-29 |
| 1407017965 | Correctiona Medical Associates | Clinic/Center | 205 Mcintosh Place Dr, Fayetteville, GA 30214-7384 | 2008-06-18 |
| 1376728154 | Massage Therapeutics, Inc Center for Wellness | Clinic/Center | 500 Lanier Ave W Ste 411, Fayetteville, GA 30214-7638 | 2007-12-30 |
| 1578767299 | Kidzplex Fitness | Clinic/Center | 1830q Owen Dr, Fayetteville, NC 28304-3421 | 2007-06-14 |
| 1114067519 | Rediclinic LLC | Clinic/Center | 3911 North Mall Avenue, Fayetteville, AR 72703 | 2007-02-07 |
| 1932202447 | Appalachian Regional Healthcare | Clinic/Center | 436 Elizabeth Way, Fayetteville, WV 25840 | 2006-09-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.