MRS. KARI SUZANNE LIGHT (NPI# 1134465826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134465826 |
| Entity Type | Individual |
| Full Name | MRS. KARI SUZANNE LIGHT |
| Credential | PA-C |
| Practice Address |
204 Evans Rd Hollister NC 27844-9247 |
| Mailing Address |
Po Box 640 Roanoke Rapids NC 27870-0640 |
| Practice Telephone | 2525865151 |
| Practice Fax Number | 2525866932 |
| Mailing Telephone | 2525365791 |
| Mailing Fax Number | 2525365444 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA054654 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-04245 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 EVANS RD |
| City | HOLLISTER |
| State | NC |
| Zip Code | 27844-9247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215114426 | Elizabeth Ann Loverso | Podiatrist | 204 Evans Rd, Hollister, NC 27844-9247 | 2008-01-30 |
| 1962920488 | Sean Juno Yu | Physician Assistant | 204 Evans Rd, Hollister, NC 27844-9247 | 2017-09-05 |
| 1053777987 | Ladonna Denise Richardson | Social Worker | 204 Evans Rd, Hollister, NC 27844-9247 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487606893 | Twin County Rural Health Center, Inc. | Clinic/Center | 204 Evans Road, Hollister, NC 27844 | 2006-05-16 |
| 1053399816 | Jane Harvey Mccaleb | Family Medicine | 204 Evans Road, Hollister, NC 27844-0010 | 2006-01-03 |
| 1922290527 | Rural Health Group, Inc | Pharmacy | 204 Evans Road, Hollister, NC 27844-0010 | 2007-08-16 |
| 1366506685 | Dawn Nichole Rush | Pharmacist | 204 Evans Road, Hollister, NC 27844-0010 | 2006-12-21 |
| 1902995145 | Rural Health Group Inc | Clinic/Center | 204 Evans Road, Hollister, NC 27844-0010 | 2006-10-12 |
| 1932348778 | A Leap of Faith, Inc. | Community/Behavioral Health | 156 Rudd Trl, Hollister, NC 27844-9358 | 2009-02-18 |
| 1366742223 | Haliwa Saponi Tribal School | Local Education Agency (LEA) | 130 Haliwa Saponi Trl, Hollister, NC 27844-9390 | 2010-10-26 |
| 1275976334 | Jo Ann Freeman | Physical Therapist | 483 Mills Rd, Hollister, NC 27844-9416 | 2013-04-09 |
| 1427476167 | Statewide Mental Health & Disability Services, Pllc | Family Medicine | 64 Knight Rd, Hollister, NC 27844-9791 | 2014-03-31 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837675 | Philip Alan Gosvener | Physician Assistant | 591 Mccray St Ste 101, Hollister, CA 95023-2224 | 2006-01-27 |
| 1194850800 | Ray S. Kusumoto | Physician Assistant | 890 Sunset Dr, Suite A2, Hollister, CA 95023-5651 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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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.