SHIEGHETHA LENNETTE EDWARDS


Address: Medical Center Blvd, Winston Salem, NC 27102-0344
Phone: 3367138600

SHIEGHETHA LENNETTE EDWARDS (NPI# 1144471947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144471947
Entity Type Individual
Full Name SHIEGHETHA LENNETTE EDWARDS
Credential NP
Practice Address Medical Center Blvd
Winston Salem
NC 27102-0344
Mailing Address Po Box 344
Winston Salem
NC 27102-0344
Practice Telephone 3367138600
Practice Fax Number 3367138588
Mailing Telephone 3367162255
Enumeration Date 2008-10-10
Last Update Date 2012-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
201899 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 7000580 05

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27102-0344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811990815 Gary Lee Ray Registered Nurse Medical Center Blvd, Winston Salem, NC 27157-0001 2005-05-23
1881295418 Alan Townes Grizzard Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-11-02
1003421751 Nicholas Ryan Tuttle Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-10
1356956122 Caitlin Marie Clement Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27103 2020-09-09
1376154591 Lori Sansone Flores Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-11
1821609330 Hannah Carey Walker Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-10
1447876883 Raveena Mahesh Chhabria Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-22
1780205930 Jason Chin Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-1087 2020-04-29
1972122885 Bryanna Dean Vesely Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-10
1679102909 Ameen Barghi Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-2803 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811246994 Rita Nickens-silva Counselor 1014 Hawk Ridge Circle, Winston-salem, NC 27102 2012-09-05
1902411697 Brenita Howard Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-09-10
1497368419 Jazmen Makala Batchelor Behavior Technician 5175 Old Clemmons School Rd, Winston-salem, NC 27102 2020-08-28
1063020964 Adam Thibeault Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-07-16
1528685443 Garcia Jacobs Harris Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-26
1437775632 Iman Saadat Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-23
1598381121 Kelly Young Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-19
1588280119 Turquoise Muir Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-19
1538784095 Sara Holka Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-10
1619591849 Rachel Clark Behavior Technician 5175 Old Clemmons School Road, Winston Salem, NC 27102 2020-06-03
Find all providers in zip 27102

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576857 Candace Allen Nurse Practitioner 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 2020-10-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1427604883 Jeanette Renea Torain Nurse Practitioner 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6983 2019-08-12
1841853876 Sarah Monzella Pack Nurse Practitioner 3878 Oxford Station Way Ste A, Winston Salem, NC 27103-1340 2019-04-16
1720547425 Ya Huster Taylor Nurse Practitioner 1005 Treble Ct, Winston Salem, NC 27127-5971 2019-03-13
1710450127 Assumpta Kagaba Nurse Practitioner 3811 White Petals Ct, Winston Salem, NC 27107-6052 2019-01-08
1982189460 Erica Segers Nurse Practitioner 4157 Kennison Village Dr, Winston Salem, NC 27127-6694 2018-10-01
1710433495 Ikeshia Knight Nurse Practitioner 1831 Cahill Dr, Winston Salem, NC 27127-8828 2016-08-31
1487023495 Porcial Washington Wilson Nurse Practitioner 755 Highland Oaks Dr Ste 202, Winston Salem, NC 27103-7106 2015-09-20
1316323124 Elizabeth Arpe Goodman Nurse Practitioner 191 Wallburg High Point Rd, Winston Salem, NC 27107-9835 2015-08-04
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Competitor

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City WINSTON SALEM
Zip Code 27102

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Dataset Information

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.

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