MR. JARED DANT (NPI# 1114162955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114162955 |
| Entity Type | Individual |
| Full Name | MR. JARED DANT |
| Credential | PA |
| Practice Address |
101 Robeson St Suite 300 Fayetteville NC 28301-5552 |
| Mailing Address |
Po Box 41209 Fayetteville NC 28309-1209 |
| Practice Telephone | 9106091282 |
| Practice Fax Number | 9106091276 |
| Mailing Telephone | 9106091282 |
| Mailing Fax Number | 9106091276 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01628 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST | PENDING | 01 |
| NC | PENDING | 05 |
| Street Address |
101 ROBESON ST SUITE 300 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637397 | Leon E Dantzler | Internal Medicine | 101 Robeson St, Suite 300, Fayetteville, NC 28301-5552 | 2005-05-23 |
| 1962014803 | Paige Greene | Pharmacist | 101 Robeson St, Fayetteville, NC 28301-5552 | 2020-08-21 |
| 1013536234 | Ashley Stone | Health Educator | 101 Robeson St, Fayetteville, NC 28301-5552 | 2020-04-09 |
| 1508242280 | Kelly Fynboe | Pharmacist | 101 Robeson St, Suite 107, Fayetteville, NC 28301-5552 | 2015-08-05 |
| 1720412968 | Autumn Lee Mittleider | Pharmacist | 101 Robeson St, Ste 202, Fayetteville, NC 28301-5552 | 2013-08-23 |
| 1447695994 | Erik Wiglama | Internal Medicine | 101 Robeson St, Suite 300, Fayetteville, NC 28301-5552 | 2013-05-09 |
| 1588952329 | John Pasztor | Dietitian, Registered | 101 Robeson St, Suite 410, Fayetteville, NC 28301-5552 | 2011-07-14 |
| 1497045496 | Nduche Chika Onyeaso | Internal Medicine | 101 Robeson St, Suite 405, Fayetteville, NC 28301-5552 | 2011-04-11 |
| 1982900247 | Samantha Moore Paquette | Pharmacist | 101 Robeson St, Suite 107, Fayetteville, NC 28301-5552 | 2011-02-03 |
| 1386970572 | Jamie Dickerhoff | Nurse Practitioner | 101 Robeson St, Suite 410, Fayetteville, NC 28301-5552 | 2009-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443387 | Melissa Macneil Spencer | Physician Assistant | 810 Knighthood Cir, Fayetteville, NY 13066-8721 | 2020-10-03 |
| 1366067548 | Prathna Raval | Physician Assistant | 6808 Thames Dr, Fayetteville, NC 28306-2524 | 2020-06-12 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1144858515 | Mackenzie Anna Kirchner | Physician Assistant | 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 | 2020-03-31 |
| 1770116931 | Chasity Nicole Sullivan | Physician Assistant | 202b Highland Ave, Fayetteville, NC 28305-5308 | 2020-02-17 |
| 1740812833 | Madeline Everitt Monday | Physician Assistant | 705 Stonington Dr, Fayetteville, NC 28311-0329 | 2020-02-07 |
| 1396375325 | Lisa Ann Gross | Physician Assistant | 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 | 2020-01-17 |
| 1811536048 | Kelly Hamilton Sweatt | Physician Assistant | 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 | 2020-01-06 |
| 1922563667 | Reandy Nicole Hearn | Physician Assistant | 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 | 2019-02-06 |
| 1790259430 | Cassandra Ann Nebosky-diaz | Physician Assistant | 659 Daharan Dr, Fayetteville, NC 28314-6538 | 2019-01-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on MR. JARED DANT.
| 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.