SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES (NPI# 1033462148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033462148 |
| Entity Type | Organization |
| Organization Name | SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES |
| Other Organization Name | CHILDREN'S ADVOCACY CENTER OF THE BLUE RIDGE |
| Practice Address |
8076 Hwy 105 South Boone NC 28607 |
| Mailing Address |
Po Box 3387 Morganton NC 28680-3387 |
| Practice Telephone | 8289639777 |
| Mailing Telephone | 8283912803 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MR. WILLIAM JERNIGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8285841105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Children's Advocacy Center of the Blue Ridge | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Niley Cook Rd, Blowing Rock, NC 286059553 | 8285841105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533015 | Southmountain Children and Family Services | Social Worker | 810 Arendell St, Morehead City, NC 28557-4235 | 2020-09-17 |
| 1528691987 | Southmountain Children and Family Services | Counselor | 35 W Probart St # B2, Brevard, NC 28712-4840 | 2020-02-13 |
| 1427689173 | Southmountain Children and Family Services | Social Worker | 506 Pollock St, New Bern, NC 28562-5612 | 2020-01-31 |
| 1669805115 | Southmountain Children and Family Services | Counselor | 49 Rock Wall Ln, Burnsville, NC 28714-8567 | 2013-08-19 |
| 1033481650 | Southmountain Children and Family Services | Counselor | 110 W Union St, Morganton, NC 28655 | 2012-01-27 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1447437785 | Southmountain Children and Family Services | Specialist | 408 S Green St, Morganton, NC 28655-3529 | 2008-01-29 |
| 1730716895 | Southmountain Children and Family Services | Nurse Practitioner | 503 S Green St, Morganton, NC 28655-3530 | 2020-03-26 |
| 1588297592 | Southmountain Children and Family Services | Counselor | 408 S Green St, Morganton, NC 28655-3529 | 2020-02-18 |
| 1073145546 | Southmountain Children and Family Services | Social Worker | 3328 Bridges St Ste A, Morehead City, NC 28557-3262 | 2020-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES | 7330 Myrtle Dr, Nebo, NC 28761-8666 |
| Street Address |
8076 HWY 105 SOUTH |
| City | BOONE |
| State | NC |
| Zip Code | 28607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875047 | Amanda Michelle Williams | Nurse Practitioner | 643 Greenway Rd Ste L, Boone, NC 28607-4840 | 2019-01-24 |
| 1952882698 | Lindsey Henley | Nurse Practitioner | 870 State Farm Rd Ste 10, Boone, NC 28607-4861 | 2018-08-21 |
| 1205284916 | Stephanie Bowden Johnson | Nurse Practitioner | 184 Virginia St, Boone, NC 28607-5043 | 2016-06-03 |
| 1508274267 | Stephanie Lynn Walker | Nurse Practitioner | 148 Hwy 105, Suite 104, Boone, NC 28607 | 2014-07-25 |
| 1265794382 | Karen Edith Williams | Nurse Practitioner | 141 Health Center Dr, Boone, NC 28607-6993 | 2012-06-14 |
| 1033432711 | Virginia Little Dailey | Nurse Practitioner | 1879 Old Highway 421 S, Boone, NC 28607-6293 | 2010-03-09 |
| 1295834745 | Margaret Mozingo Mullins | Nurse Practitioner | 224 Pleasant Valley Ln, Boone, NC 28607 | 2006-09-21 |
| 1851408207 | Rachel Elisabeth Bridgeman | Nurse Practitioner | 126 Poplar Grove Connector, Boone, NC 28607-5915 | 2006-08-23 |
| 1841264058 | Sarah Ellen Thomas | Nurse Practitioner | Asu Student Health Services, 614 Howard Street, Boone, NC 28608-0001 | 2006-02-14 |
| 1326667742 | Kimberly Nicole Dewese | Nurse Practitioner | 175 Mary St, Boone, NC 28607-5025 | 2020-04-15 |
| Find all providers in BOONE | ||||
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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.