NICOLA SAM (NPI# 1033584719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033584719 |
| Entity Type | Individual |
| Full Name | NICOLA SAM |
| Practice Address |
1601 Brenner Ave Salisbury NC 28144-2515 |
| Practice Telephone | 7046389000 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
244801 | NY | Technologists, Technicians & Other Technical Service Providers |
| N | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
016996 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1601 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953423 | Benjamin W Reese | Family Medicine | 1601 Brenner Ave, 11a W.g. Bill Hefner Medical Center, Salisbury, NC 28144 | 2005-06-23 |
| 1508467028 | Nicolas Hunter Johnson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-11-02 |
| 1174123558 | Demarcus Swain Steele | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-27 |
| 1053911578 | Michelle Wilson | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1750980231 | Airington Tribble | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1467051946 | Whitney Mickens | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1134728611 | Matthew Agner | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-26 |
| 1225637804 | Jackie Meggett | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1831798578 | Brittany Plummer | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| 1184223810 | Aleashia H Brandon | Recreation Therapist | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820526 | Rosa Park | Spec/Tech, Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2018-08-08 |
| 1336525500 | Randy Scott Robinson | Spec/Tech, Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2015-08-10 |
| 1508912080 | James M. Martin | Spec/Tech, Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-01-26 |
| 1215083381 | Ricardo Flo | Spec/Tech, Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973685 | Roderick Kirby | Spec/Tech, Pathology | 2429 Ardmore Mnr, Winston Salem, NC 27103-4801 | 2020-08-19 |
| 1912515883 | Jennifer Anne Swift | Spec/Tech, Pathology | 14 Circuit Dr Rm 116, Durham, NC 27710-3051 | 2020-07-16 |
| 1255973095 | Heather Lynn Bronder | Spec/Tech, Pathology | 93 Old Forest Dr, Asheville, NC 28803-0280 | 2019-10-14 |
| 1124568407 | Kelly Almond | Spec/Tech, Pathology | 49256 Parker Memorial Rd, Richfield, NC 28137-5756 | 2017-03-06 |
| 1013302116 | William Bryan | Spec/Tech, Pathology | 3738 Cypress Club Dr, Villa D403, Charlotte, NC 28210-2483 | 2015-04-06 |
| 1992034722 | Victoria Thuy-viet Phan | Spec/Tech, Pathology | 109 Wrenn Dr Apt A, Cary, NC 27511-5316 | 2009-12-07 |
| 1699913558 | Lynn Stavely | Spec/Tech, Pathology | 6400 Green Arbor Ln, Wilmington, NC 28409-2136 | 2009-01-30 |
| 1194981977 | David Lee Harwood | Spec/Tech, Pathology | 1075 Jenkins Valley Rd, Alexander, NC 28701-8712 | 2008-07-31 |
| 1144417643 | Deborah Evans Griffin | Spec/Tech, Pathology | 383 Miriam Dr, Winston Salem, NC 27127-9169 | 2007-09-28 |
| 1407998404 | Jerry Dewayne Tucker | Spec/Tech, Pathology | Us Coast Guard Special Missions Training Center, Bb-11 Courthouse Bay, Camp Lejeune, NC 28542 | 2007-02-13 |
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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.