DR. JACK BASDEN MCKINNEY (NPI# 1083048516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083048516 |
Entity Type | Individual |
Full Name | DR. JACK BASDEN MCKINNEY |
Credential | PHD |
Practice Address |
3412 Hillsborough St Raleigh NC 27607-5407 |
Practice Telephone | 9198031369 |
Mailing Telephone | 9198031369 |
Enumeration Date | 2013-09-03 |
Last Update Date | 2013-09-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
92 | NC | Behavioral Health & Social Service Providers |
Street Address |
3412 HILLSBOROUGH ST |
City | RALEIGH |
State | NC |
Zip Code | 27607-5407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528012663 | Elizabeth Gourley Read | Chiropractor | 3412 Hillsborough St, Raleigh, NC 27607-5407 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
Find all providers in zip 27607 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801441316 | Brenda G Jones | Counselor | 4926 Windy Hill Dr Ste A, Raleigh, NC 27609-5182 | 2019-08-02 |
1093299497 | Kenneth E Jarmon Sr. | Counselor | 3805 Tarheel Club Rd, Raleigh, NC 27604-9665 | 2018-09-20 |
1184065575 | William Howard Searcy | Counselor | 700 Brooks Ave, Raleigh, NC 27607-4132 | 2013-07-12 |
1104037720 | William Mark Holland | Counselor | 3405 Dell Dr, Raleigh, NC 27609-7119 | 2007-05-25 |
1942759238 | Beverly Rose Wallace | Counselor | 3719 Benson Dr, Raleigh, NC 27609-7324 | 2016-09-27 |
1629452016 | Terry Michael Newell Jr. | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2015-07-15 |
1205080793 | Jennifer Clarke Brown | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2008-11-10 |
1609063171 | David Carl Verner | Counselor | 312 W Millbrook Rd, Ste. 109, Raleigh, NC 27609-4389 | 2007-09-28 |
1760676944 | Suzanne Ware Luper | Counselor | 312 W Millbrook Rd, #109, Raleigh, NC 27609-4389 | 2007-08-30 |
1336331560 | Robert Lawson Cooke | Counselor | 312 W Millbrook Rd, Suite 109, Raleigh, NC 27609-4389 | 2007-08-12 |
Find all providers in RALEIGH |
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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.