KAITLIN MIZE RUFFIN (NPI# 1144741794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144741794 |
| Entity Type | Individual |
| Full Name | KAITLIN MIZE RUFFIN |
| Other Name | KAITLIN MIZE |
| Credential | CPNP-PC, RN |
| Practice Address |
91 Enterprise Dr Rocky Mount NC 27804-9590 |
| Mailing Address |
7755 Acc Blvd Raleigh NC 27617-8631 |
| Practice Telephone | 2524513100 |
| Practice Fax Number | 2529373108 |
| Mailing Telephone | 9194825711 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
259034 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1144741794 | 05 | |
| NC | BCBS OF NC | 19R06 | 01 |
| NC | MEDICARE | NCY234A | 01 |
| NC | NC LICENSE | 259034 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Nash Medical Arts Mall, Rocky Mount, NC 278041400 | 2524513100 | |
| 921 N Winstead Ave, Rocky Mount, NC 278048749 | 2529370300 | 2529373106 |
| Street Address |
91 ENTERPRISE DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-9590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896618 | Grace M Jere | Internal Medicine | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2005-07-22 |
| 1316555311 | Gloria Lashanda Tabron | Registered Nurse | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-07-16 |
| 1548895469 | Paige Elizabeth Emig | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2020-03-11 |
| 1053805978 | Anne Davis O'hara | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804 | 2018-06-15 |
| 1770895708 | Suchita B Gade | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2010-07-07 |
| 1760702815 | Mariah Mann Mckellar | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2010-06-10 |
| 1295930345 | Lisa Bellofiore-plonski | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2007-06-19 |
| 1669563524 | Julia Self Watkins | Nurse Practitioner | 91 Enterprise Dr, Rocky Mount, NC 27804 | 2006-09-27 |
| 1518907377 | Beth A Edgerton | Physician Assistant | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2006-06-08 |
| 1346235454 | Harold A Bailey | Pediatrics | 91 Enterprise Dr, Rocky Mount, NC 27804-9590 | 2005-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922547652 | Megan Street Williams | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2017-02-14 |
| 1003219429 | Tiffany Young | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2014-09-30 |
| 1194708784 | Suzanne D Barron | Nurse Practitioner | 390 S Main St, Suite 101, Rocky Mount, VA 24151-1766 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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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.