CECILIA KAECHELE (NPI# 1023503265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023503265 |
| Entity Type | Individual |
| Full Name | CECILIA KAECHELE |
| Credential | NP |
| Practice Address |
557 Brookdale Dr Statesville NC 28677 |
| Mailing Address |
Po Box 2530 Davidson NC 28036-2530 |
| Practice Telephone | 7049975525 |
| Practice Fax Number | 7049975531 |
| Mailing Telephone | 7049975525 |
| Mailing Fax Number | 7049975531 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
219982 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
557 BROOKDALE DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606281 | Rocco Joseph Tritico | Specialist | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2005-06-01 |
| 1396216735 | Wake Forest Emergency Providers | Clinic/Center | 557 Brookdale Dr, Statesville, NC 28677-4100 | 2018-12-11 |
| 1255807517 | Sarah E Pagano | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2018-10-15 |
| 1063900512 | Amanda L Downs | Dietitian, Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2018-04-30 |
| 1275049207 | Holly Townsend | Specialist/Technologist | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2017-12-28 |
| 1982115846 | Kayla Pierce | Registered Nurse | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2017-10-18 |
| 1245757665 | Wake Forest University Health Sciences | Clinic/Center | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2017-08-25 |
| 1609259183 | Nunta Campbell | Nurse Practitioner | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2015-07-02 |
| 1811381593 | Iredell Physician Network LLC | General Practice | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2015-03-20 |
| 1699197467 | Mary Elizabeth Weaver Corey | Physician Assistant | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2014-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164680856 | Lori M Dixon | Nurse Practitioner | 419 Coolidge Ave, Statesville, NC 28677-3301 | 2008-05-29 |
| 1487934162 | Jennifer S Brooks | Nurse Practitioner | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2011-08-25 |
| 1811291636 | Carol Lynn La Torre | Nurse Practitioner | 700 Sullivan Rd, Statesville, NC 28677-3440 | 2011-01-08 |
| 1437472297 | Melissa G Deal | Nurse Practitioner | 208 Old Mocksville Rd, Statesville, NC 28625-1953 | 2010-03-09 |
| 1861633372 | Sonya Renae Hardin | Nurse Practitioner | 750 Hartness Rd Ste E, Statesville, NC 28677-3400 | 2009-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
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| City | STATESVILLE |
| Zip Code | 28677 |
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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.