MS. VALERIE VESTAL


Address: 1615 Polo Rd, Winston Salem, NC 27106-3831
Phone: 3367227266

MS. VALERIE VESTAL (NPI# 1053798694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053798694
Entity Type Individual
Full Name MS. VALERIE VESTAL
Other Name MS. VALEIRE REED VESTAL
Credential NP
Practice Address 1615 Polo Rd
Winston Salem
NC 27106-3831
Practice Telephone 3367227266
Practice Fax Number 3362010538
Mailing Telephone 3367227266
Mailing Fax Number 3362010538
Enumeration Date 2015-05-04
Last Update Date 2015-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
5007616 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1615 POLO RD
City WINSTON SALEM
State NC
Zip Code 27106-3831

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427034768 Christopher Bruns Aiken Psychiatry & Neurology 1615 Polo Rd, Winston Salem, NC 27106-3859 2005-12-19
1386206654 Tina Long Spach Social Worker 1615 Polo Rd, Winston Salem, NC 27106-3831 2019-07-08
1588159834 Esther Simone Suess Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-06-28
1336632009 Bethany Godwin Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-06-07
1740782507 Rebecca Stevens Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2018-03-07
1417495458 Lindsay Reynolds Social Worker 1615 Polo Rd, Winston Salem, NC 27106-3831 2017-02-10
1649718180 Kellie Newsome Registered Nurse 1615 Polo Rd, Winston Salem, NC 27106-3831 2017-02-04
1598213993 Kelly Welch Joyce Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2016-09-14
1437568334 Jill Elyse Gaukstern Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2014-08-05
1053737148 Anna Leisa Sauser Counselor 1615 Polo Rd, Winston Salem, NC 27106-3831 2014-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437799103 Tyler Laura Lawrence Behavioral Analyst 1959 N Peace, 104, Winston-salem, NC 27106 2020-01-10
1316504624 Amanda Baker Behavior Technician 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 2019-05-22
1679030316 Lavonda Williams Behavior Technician 1959 N Peace Haven Road, Winston Salem, NC 27106 2019-03-01
1518436708 Angela Ruth Brown Physical Therapy Assistant 190 Moravian Way Drive, Winston-salem, NC 27106 2018-11-16
1407378896 Applied Family Services of Winston-salem Early Intervention Provider Agency 4220 Witherow Rd, Winston Salem, NC 27106 2017-07-07
1750801676 Julia Ann Horton Speech-Language Pathologist 2000 Salemtowne Drive, Winston Salem, NC 27106 2017-06-21
1124548037 Tyler John Jones Community Health Worker 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 2017-06-21
1396274759 Jennifer Cui Social Worker 3216 Cross Tree Rd, Winston-salem, NC 27106 2017-06-08
1063947802 Rebecca Jeanette Mclemore Social Worker 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 2017-05-01
1720529357 Rising Hope Clinical Assistance, LLC Community/Behavioral Health 510 Northgate Park Dr, Winston Salem, NC 27106 2017-03-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184249393 Adaku Anike Nurse Practitioner 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-12
1043869746 Lisa Maria Waye Nurse Practitioner 3637 Old Vineyard Rd, Winston Salem, NC 27104-4842 2019-09-05
1487015376 Stefanie T Livingston Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2016-03-19
1437498326 Marjorie G Sales Nurse Practitioner 3000 Bethesda Pl, Suite 801, Winston Salem, NC 27103-3331 2013-02-12
1639436124 Carolyn D Orr Nurse Practitioner 1615 Polo Rd, Winston Salem, NC 27106-3831 2012-04-20
1851454649 Victoria Marie Soltis-jarrett Nurse Practitioner 1365 Westgate Center Dr, Winston Salem, NC 27103-2980 2006-12-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730078 Leetisha Lawana Dunia Nurse Practitioner 538 Wood Point Dr, Lillington, NC 27546-5971 2020-11-06
1881292134 Jurell Kirice Riley Nurse Practitioner 6301 Dumont Ln, Charlotte, NC 28269-6147 2020-10-09
1336756899 Jennifer Danks Nurse Practitioner 1845 Keener Rd, Clinton, NC 28328-8039 2020-09-29
1376159400 Ronald Jerome Patterson Jr. Nurse Practitioner 4204 Banks Stone Dr, Raleigh, NC 27603-4860 2020-09-23
1902411499 Solari Mental and Behavioral Health Services Nurse Practitioner 11206 Highcrest Dr, Huntersville, NC 28078-0610 2020-09-10
1699389684 Lasting Hope - Mental Health & Recovery Nurse Practitioner 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 2020-09-07
1588277727 Alison Stroh Nurse Practitioner 1313 Banyon Grove Loop, Cary, NC 27513-3936 2020-08-27
1902417488 Erin Klender Pllc Nurse Practitioner 12106 Willingdon Rd, Huntersville, NC 28078-5520 2020-08-10
1407466824 Theresa Uju Ofoemezie Nurse Practitioner 250 S San Agustin Dr, Mooresville, NC 28117-8581 2020-08-01
1669090213 Rashonda R. Wheeler Nurse Practitioner 8949 Cinnabay Dr, Charlotte, NC 28216-2189 2020-07-10
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Competitor

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City WINSTON SALEM
Zip Code 27106

Improve Information

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Dataset Information

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.

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