MRS. KATHERINE MCDANIEL KULENIC (NPI# 1083918841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083918841 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE MCDANIEL KULENIC |
| Credential | FNP-BC |
| Practice Address |
3612 Shannon Rd Suite # 105 Durham NC 27707-6329 |
| Mailing Address |
3612 Shannon Rd Suite # 105 Durham NC 27707 |
| Practice Telephone | 9194190242 |
| Practice Fax Number | 9194014172 |
| Mailing Telephone | 9194190242 |
| Mailing Fax Number | 9194014172 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004865 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3612 SHANNON RD SUITE # 105 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706133 | Southwest Durham Family Medicine, Pllc | Internal Medicine | 3612 Shannon Rd, Suite 105, Durham, NC 27707-6329 | 2006-01-30 |
| 1548466204 | Tiffany Marum | Family Medicine | 3612 Shannon Rd, Suite 105, Durham, NC 27707-6329 | 2007-06-21 |
| 1184829228 | Baxter Boone Sapp Jr. | Dentist | 3612 Shannon Rd, Suite 205, Durham, NC 27707-6329 | 2007-06-19 |
| 1811099476 | Hal Thomas Macon Sapp | Dentist | 3612 Shannon Rd, Suite 205, Durham, NC 27707-6329 | 2006-09-03 |
| 1376569624 | Baxter B. Sapp, Jr, Dds & Ht Macon Sapp, Dds, Pa | Dentist | 3612 Shannon Rd, Suite 205, Durham, NC 27707-6329 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1306460340 | Francia Elena Marin | Nurse Practitioner | 6009 Garrett Rd, Durham, NC 27707-5349 | 2020-06-05 |
| 1154959658 | Allyson Kaye-winston Scott | Nurse Practitioner | 108 Oakmont Ave, Durham, NC 27713-1558 | 2020-03-30 |
| 1245866235 | Rosalyn Carson | Nurse Practitioner | 3710 Shannon Rd # 52570, Durham, NC 27707-6327 | 2020-03-21 |
| 1730726498 | Georgia Darby Smith | Nurse Practitioner | 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 | 2019-12-02 |
| 1639728801 | Tyra Tameka Gray | Nurse Practitioner | 225 Lodestone Dr, Durham, NC 27703-6634 | 2019-09-10 |
| 1134781453 | Godwin C Nweke | Nurse Practitioner | 3632 Ranbir Dr, Durham, NC 27713-1793 | 2019-07-08 |
| 1114586948 | Hadja Thiam | Nurse Practitioner | 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 | 2019-06-05 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1013434257 | Stephanie Howard Spaulding | Nurse Practitioner | 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 | 2017-08-28 |
| Find all providers in DURHAM | ||||
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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.