DIANA LYNN DILLARD (NPI# 1093832388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093832388 |
Entity Type | Individual |
Full Name | DIANA LYNN DILLARD |
Credential | FNP |
Practice Address |
1385 Medical Center Dr Roanoke Rapids NC 27870-5130 |
Practice Telephone | 2525379176 |
Practice Fax Number | 2525376851 |
Mailing Telephone | 2525379176 |
Mailing Fax Number | 2525376851 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2012-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0050-02800 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | LICENSE | 5002800 | 01 |
NC | 7004833 | 05 |
Street Address |
1385 MEDICAL CENTER DR |
City | ROANOKE RAPIDS |
State | NC |
Zip Code | 27870-5130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366402406 | John Jay Myers | Family Medicine | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2006-03-24 |
1235694076 | Jessica Marie Haselman | Nurse Practitioner | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2019-02-06 |
1174016828 | Kelly W Harvey | Nurse Practitioner | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2018-06-07 |
1104102540 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2011-10-31 |
1689792830 | Mohamad A Shakir | Family Medicine | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2007-03-27 |
1720198369 | Roanoke Valley Health Services Inc | Family Medicine | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2006-08-30 |
1730138066 | Christian Sorensen | Family Medicine | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2006-05-05 |
1396706214 | Kenneth Robert | Family Medicine | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2006-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
Find all providers in zip 27870 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649534199 | Sarah C Massey | Nurse Practitioner | 1385 Medical Center Drive, Roanoke Rapids, NC 27870 | 2012-06-29 |
1285822940 | Sharon Faye Lynch-jones | Nurse Practitioner | 1096 E 10th St, Roanoke Rapids, NC 27870-3052 | 2007-10-09 |
1528691300 | Morgan Keeter | Nurse Practitioner | 52 Anna Louise Ln, Roanoke Rapids, NC 27870-8648 | 2020-02-19 |
1083266480 | Gina Marie Casper | Nurse Practitioner | 210 Smith Church Rd, Roanoke Rapids, NC 27870-4942 | 2019-07-15 |
1922572445 | Leighann Massey Davis | Nurse Practitioner | 63 Office Park Dr, Roanoke Rapids, NC 27870-4940 | 2019-01-17 |
1174016828 | Kelly W Harvey | Nurse Practitioner | 1385 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2018-06-07 |
1558862896 | Linda Hoven | Nurse Practitioner | 2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 | 2018-02-22 |
1982089660 | Elizabeth Louise Nash | Nurse Practitioner | 2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 | 2015-07-23 |
1508199860 | Nellie Sue Chamblee | Nurse Practitioner | 2066 Nc Highway 125, Roanoke Rapids, NC 27870-9436 | 2009-09-17 |
1780744037 | Tina Louise Poindexter | Nurse Practitioner | 2066 Nc Highway 125, Roanoke Rapids, NC 27870 | 2006-12-09 |
Find all providers in ROANOKE RAPIDS |
City | ROANOKE RAPIDS |
Zip Code | 27870 |
Please comment or provide details below to improve the information on DIANA LYNN DILLARD.
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.