MISS KIARA JO FORTUNE (NPI# 1154506863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506863 |
| Entity Type | Individual |
| Full Name | MISS KIARA JO FORTUNE |
| Practice Address |
325 N Cool Spring St Fayetteville NC 28301-5137 |
| Mailing Address |
5421 Heather St Hope Mills NC 28348-2846 |
| Practice Telephone | 9103234925 |
| Mailing Telephone | 9104230380 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
325 N COOL SPRING ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922131937 | Paige Gover | Occupational Therapist | 325 N Cool Spring St, Fayetteville, NC 28301-5137 | 2007-03-13 |
| 1912558867 | Lauren Townsend Altman | Occupational Therapist | 325 N Cool Spring St, Fayetteville, NC 28301-5137 | 2019-09-23 |
| 1194148072 | Heritage Place | Assisted Living Facility | 325 N Cool Spring St, Fayetteville, NC 28301-5137 | 2014-01-28 |
| 1427282862 | Sharon Mathis | Occupational Therapy Assistant | 325 N Cool Spring St, Fayetteville, NC 28301-5137 | 2009-05-13 |
| 1598963613 | Elizabeth Frey | Occupational Therapist | 325 N Cool Spring St, Fayetteville, NC 28301-5137 | 2007-07-10 |
| 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 | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023186798 | Sheri Adams Walker | Rehabilitation Practitioner | 6958 Nexus Ct Ste 102, Fayetteville, NC 28304-2642 | 2006-12-01 |
| 1932719218 | Leah Diaz | Rehabilitation Practitioner | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1457625386 | Kirsten Brooke Williams | Rehabilitation Practitioner | 1289 Oliver St, Fayetteville, NC 28304-4450 | 2012-02-23 |
| 1699971606 | Nell Payne | Rehabilitation Practitioner | 1289 Oliver St, Fayetteville, NC 28304-4450 | 2007-06-26 |
| 1639230162 | Matilda Antionette Page | Rehabilitation Practitioner | 6958 Nexus Ct, Suite 102, Fayetteville, NC 28304-2642 | 2006-12-12 |
| 1790889962 | Brenda D Cain | Rehabilitation Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628292 | Urban Family Solutions Inc. | Rehabilitation Practitioner | 1153 Oak Crest Trl, Belmont, NC 28012-7627 | 2020-10-28 |
| 1437638749 | Kristin Tabatha Cauldwell | Rehabilitation Practitioner | Compass Point Wellness Center, 2308 E Oakbridge Way Ne, Leland, NC 28451-0230 | 2018-08-08 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1730582677 | Eileen Ann Johnson | Rehabilitation Practitioner | 4513 Lawndale Dr, Apt. F, Greensboro, NC 27455-1879 | 2014-10-07 |
| 1912328220 | Felicia Rene Hall White | Rehabilitation Practitioner | 3006 Sikes Mill Rd, Monroe, NC 28110-9782 | 2014-01-05 |
| 1396093712 | Sakeenah Lambert | Rehabilitation Practitioner | 630 James St, Burlington, NC 27217-6008 | 2012-08-15 |
| 1710234984 | Ori-med, PC | Rehabilitation Practitioner | 930 Se Cary Pkwy Ste 100b, Cary, NC 27518-7419 | 2012-08-07 |
| 1285989871 | Beverly C Thomas | Rehabilitation Practitioner | 3123 Ross Ave, Charlotte, NC 28208-7131 | 2012-07-19 |
| 1598065674 | Terry Christopher Speaks | Rehabilitation Practitioner | 355 Galloway St, Mount Airy, NC 27030-3711 | 2010-10-23 |
| 1861641599 | Eunkuk Kim | Rehabilitation Practitioner | Beacon Hill Dr, Apt A, Winston Salem, NC 27106 | 2008-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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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.