MRS. CONNIE C HARGROVE (NPI# 1043876220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043876220 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE C HARGROVE |
| Credential | CPSS |
| Practice Address |
1161 Pinkney Rd Nw Pikeville NC 27863-8690 |
| Practice Telephone | 9192236844 |
| Mailing Telephone | 9192236844 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175T00000X | Peer Specialist | 2019-6066-01 | NC | Other Service Providers |
| Y | 175T00000X | Peer Specialist | 2019606601 | NC | Other Service Providers |
| Street Address |
1161 PINKNEY RD NW |
| City | PIKEVILLE |
| State | NC |
| Zip Code | 27863-8690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003299561 | Chrishaunda Lakeish Vick | Nurse Practitioner | 4680 Us-177, Pikeville, NC 27863 | 2015-07-02 |
| 1619208071 | Faithful Family Care | Assisted Living Facility | 103 Se Railroad St, Pikeville, NC 27863 | 2010-01-26 |
| 1144375874 | Thigpen Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 107-111 Nw Railroad St, Pikeville, NC 27863 | 2007-01-24 |
| 1437206448 | Margaret Mooring Evans | Nurse Practitioner | 5413 Us 117 N, Eastern Medical Associates, Pikeville, NC 27863 | 2007-01-04 |
| 1013000124 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 4700 Us Highway 117 North, Pikeville, NC 27863 | 2006-10-02 |
| 1649895442 | Gaynelle Bolling | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 102 Mandarin Dr, Pikeville, NC 27863-0020 | 2020-06-08 |
| 1184829038 | Countryside Living | Assisted Living Facility | 5383 Us 117 North, Pikeville, NC 27863-0335 | 2007-06-20 |
| 1740436989 | C&e Assisted Living, Inc | Assisted Living Facility | 109 Southeast Railroad Street, Pikeville, NC 27863-0428 | 2008-08-07 |
| 1710221247 | Staci Lynne Short | Physical Therapist | 117 Oak Summit Dr, Pikeville, NC 27863-8116 | 2012-11-21 |
| 1174867618 | S.t.a.n.d...ing, Inc | Community/Behavioral Health | 206 S Goldsboro Rd, Pikeville, NC 27863-8335 | 2012-11-21 |
| Find all providers in zip 27863 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572896 | Porsha Griffin | Peer Specialist | 809 Park Ave Ste F, Greensboro, NC 27405-7811 | 2019-11-07 |
| 1235787227 | Cecilia Davis Smith | Peer Specialist | 1022 S Main St., Lillington, NC 27546-2754 | 2019-09-03 |
| 1538633128 | Krystal Hocutt | Peer Specialist | 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 | 2019-01-16 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1063925774 | Pervis Nash | Peer Specialist | 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 | 2017-11-16 |
| 1760919112 | Dana Watson White | Peer Specialist | 327 Holland Dr, Statesville, NC 28677-4168 | 2017-05-16 |
| 1619408713 | Vera Jacobs | Peer Specialist | 415 Princess Ann Dr, Durham, NC 27703-2518 | 2017-03-21 |
| 1003356940 | Donald Sawyer IIi | Peer Specialist | 1450 E 11th St, Winston Salem, NC 27101-3209 | 2017-02-25 |
| 1215395207 | Troy Allen Hunt | Peer Specialist | 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 | 2016-02-04 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
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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.