DR. TINA MARIE DRISCOLL (NPI# 1083611040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083611040 |
| Entity Type | Individual |
| Full Name | DR. TINA MARIE DRISCOLL |
| Credential | D.C. |
| Practice Address |
1171 N Bragg Blvd Spring Lake NC 28390-3116 |
| Mailing Address |
508 Glenola St Fayetteville NC 28311-3206 |
| Practice Telephone | 9104365000 |
| Practice Fax Number | 9104367705 |
| Mailing Telephone | 9108223221 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1830 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89085GR | 05 | |
| NC | BCBS PROVIDER NO. | 013FC | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285871178 | Tina M Driscoll | Nurse Anesthetist, Certified Registered | 300 Main St, Lewiston, ME 04240-7027 | 2009-01-14 |
| Street Address |
1171 N BRAGG BLVD |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914977 | Health & Wellness Center, Inc. | Chiropractor | 1171 N Bragg Blvd, Spring Lake, NC 28390-3116 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386092989 | Joseph Marchitelli | Chiropractor | 600 Warren Ave Ste 104, Spring Lake, NJ 07762-2039 | 2016-05-25 |
| 1306234331 | Pioneer Chiropractic, PC, Pa | Chiropractor | 605 Ocean Rd, Spring Lake, NJ 07762-1842 | 2014-12-29 |
| 1275777666 | Levi J Pulver Dc Pllc | Chiropractor | 17208 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2009-04-29 |
| 1184862633 | Jason J. Tiel D.c. P.l.l.c. | Chiropractor | 510 W Savidge St, Suite E., Spring Lake, MI 49456-3107 | 2009-01-21 |
| 1275787814 | Carls Chiropractic, LLC | Chiropractor | 301 W Savidge St Ste B, Spring Lake, MI 49456-3103 | 2008-11-10 |
| 1194975532 | Sara Young | Chiropractor | 510 W Savidge St Ste E, Spring Lake, MI 49456-3108 | 2008-09-23 |
| 1437278678 | Richard M Gill | Chiropractor | 312 Morris Ave, Spring Lake, NJ 07762-1339 | 2007-03-28 |
| 1164561924 | James Alan Griswold | Chiropractor | 108 E Savidge St, Spring Lake, MI 49456-1724 | 2007-02-06 |
| 1639276652 | Jeffrey Mark Fitch | Chiropractor | 2022 State Route 71, Spring Lake, NJ 07762-2291 | 2006-09-20 |
| 1811927171 | Daniel Clarence Gleason | Chiropractor | 19084 N Fruitport Rd, Spring Lake, MI 49456-1163 | 2006-07-03 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
Please comment or provide details below to improve the information on DR. TINA MARIE DRISCOLL.
| 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.